| Bay Care Med Corp | |
|
2100 Ne Broadway St Portland OR 97232-1569 | |
| (503) 853-0868 | |
| Not Available |
| Full Name | Bay Care Med Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 2100 Ne Broadway St, Portland, Oregon |
| Authorized Official Name and Position | Stephen Newberry (CEO) |
| Authorized Official Contact | 5038530868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Care Med Corp 2100 Ne Broadway St Portland OR 97232-1569 Ph: () - | Bay Care Med Corp 2100 Ne Broadway St Portland OR 97232-1569 Ph: (503) 853-0868 |
| NPI Number | 1841511664 |
|---|---|
| Provider Enumeration Date | 06/15/2010 |
| Last Update Date | 06/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841511664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD16896 (Oregon) | Primary |
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