Robbie Bahl, MD LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

MD164885 Issued in OR

Legal business name

ROBBIE BAHL, MD LLC

Doing business as

Shanti Recovery & Wellness

Practice address

3769 SE Milwaukie Ave
Portland, OR 97202-3804

Phone

(503) 206-8850

NPI assigned

Dec 15, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robbie Bahl, MDNPI 1942469762

Title

Medical Director & Owner

Phone

(503) 206-8850

Specialties & licenses 1

Addresses

Other names 1

• Shanti Recovery & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robbie Bahl, MD

  • Addiction Medicine (Family Medicine) Physician
  • Portland, OR
  • NPI 1942469762
  Medicare reassignment NPD Authorized official
• Brooke Kreitner Fitzgerald, FNP

  • Family Nurse Practitioner
  • Portland, OR
  • NPI 1316117633
  NPD (past)
• Cydney W Heims, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Seaside, OR
  • NPI 1619383403
  NPD (past)
• Lynnette Kay McLagan, PA

  • Physician Assistant
  • Vancouver, WA
  • NPI 1619273075
  NPD (past)
• Megan Vandell, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1053915116
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1073978284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3769 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3769 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023804",
            "telephone_number": "503-206-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBBIE BAHL, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "BAHL",
        "authorized_official_first_name": "ROBBIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR & OWNER",
        "authorized_official_telephone_number": "503-206-8850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OR",
            "license": "MD164885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shanti Recovery & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miguel Angel Robayo Quiroz
• Rebecca Robb-Hicks, PSYD
• Douglas Allan Robb, M.D.
• James V Robb, MD
• Robin Robberson, MPH, QMHA
• Robbie Miller, Mac, Sap, Cadc III
• Alexandria Robbin
• Clayton Robbins
• Craig E Robbins, DMD
• Elizabeth Miriam Robbins, SLP

• Addiction Medicine (Family Medicine) Physician in Portland, OR
• Providers in Portland, OR by specialty
• Addiction Medicine (Family Medicine) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.