Bader, Stephen B
Bader, Stephen B is an individual health care provider with primary practice located at 4805 Ne Glisan St Garden Level, Portland OR 97213-2933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Bader, Stephen B can be contacted via phone (503) 215-6029.Contact Information
Primary practice address
4805 Ne Glisan St Garden Level
Portland OR 97213-2933
Phone: (503) 215-6029
Fax: (503) 215-6387
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | MD17045 | Oregon |
Profile Details
| NPI number | 1790787422 |
|---|---|
| LBN Legal business name | Bader, Stephen B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Dec 5th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790787422 | NPPES |
| Oregon | MEDICAID | 029657 | |
| Oregon | MEDICAID | 8128688 |
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