Bazell, Marti

Bazell, Marti is an individual health care provider with primary practice located at 58646 Mcnulty Way , Saint Helens OR 97051-6210. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Bazell, Marti can be contacted via phone (503) 397-5211.

Contact Information

Primary practice address
58646 Mcnulty Way Saint Helens OR 97051-6210
Phone: (503) 397-5211
Fax: (503) 397-5373
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD16433 Oregon
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD16433 Oregon

Profile Details

NPI number 1790824506
LBN Legal business name Bazell, Marti
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jan 8th, 2013 - about 13 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 1790824506 NPPES
Oregon MEDICAID 150308

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