Bagby, Grover Carlton
Bagby, Grover Carlton is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Bagby, Grover Carlton can be contacted via phone (503) 494-6594.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd
Portland OR 97239-3011
Phone: (503) 494-6594
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | MD07879 | Oregon |
Profile Details
| NPI number | 1962599910 |
|---|---|
| LBN Legal business name | Bagby, Grover Carlton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2006 |
| Last updated | Jan 29th, 2009 - about 17 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 | 1962599910 | NPPES |
| Oregon | MEDICAID | 130248 |
Popular Providers
-
Newell, Laura
3181 Sw Sam Jackson Park Rd L586, Portland OR 97239-3011 -
Li, Rui
4805 Ne Glisan St Suite 6N40, Portland OR 97213 -
Geschke, Wilfred Arthur
10101 Se Main St Suite 1012, Portland OR 97216-2455 -
Sullivan, Fred Richard
3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011 -
Medvedova, Eva
3181 Sw Sam Jackson Park Rd Ohsu Knight Cancer Institute Mail Code Cr145, Portland OR 97239-3011 -
Scott, Emma C
3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011 -
Silbermann, Rebecca Wang
3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011 -
Calverley, David C.
3303 Sw Bond Ave Mail Code Ch7M, Portland OR 97239-4501