Bawden, Gina Marjorie

Bawden, Gina Marjorie is an individual health care provider with primary practice located at 2850 Se Powell Valley Rd , Gresham OR 97080-1494. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bawden, Gina Marjorie can be contacted via phone (503) 666-5050.

Contact Information

Primary practice address
2850 Se Powell Valley Rd Gresham OR 97080-1494
Phone: (503) 666-5050
Fax: (503) 666-1162
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA22873 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01337 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1245414978
LBN Legal business name Bawden, Gina Marjorie
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2007
Last updated May 25th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245414978 NPPES
Oregon MEDICAID 500604977
Oregon MEDICAID 8504961

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