Bakis, Gennadiy
Bakis, Gennadiy is an sole proprietor health care provider with primary practice located at 1111 Ne 99Th Ave Ste 301 , Portland OR 97220-9442. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Bakis, Gennadiy can be contacted via phone (503) 963-2707.Contact Information
Primary practice address
1111 Ne 99Th Ave Ste 301
Portland OR 97220-9442
Phone: (503) 963-2707
Fax: (503) 963-2802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD151230 | Oregon |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD151230 | Oregon |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD21774 | Maine |
Profile Details
| NPI number | 1184614455 |
|---|---|
| LBN Legal business name | Bakis, Gennadiy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Feb 26th, 2026 - about 8 months 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 | 1184614455 | NPPES |
| Washington | MEDICAID | 2157486 | |
| Washington | MEDICAID | 500623274 | |
| Washington | MEDICAID | 2104016 |
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