Douglas Bald, M.D., P.C.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

DOUGLAS BALD, M.D., P.C.

Practice address

10373 NE Hancock St
Suite 118
Portland, OR 97220-3873

Phone

(503) 254-0331

Fax

(503) 254-2499

NPI assigned

Nov 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Bald, M.D.

Title

Owner

Phone

(503) 254-0331

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1194079392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10373 NE HANCOCK ST",
            "address_2": "SUITE 118",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203873",
            "telephone_number": "503-254-0331",
            "fax_number": "503-254-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10373 NE HANCOCK ST",
            "address_2": "SUITE 118",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203873",
            "telephone_number": "503-254-0331",
            "fax_number": "503-254-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS BALD, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "BALD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-254-0331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159475",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Patrick Dougherty, DO
• John Eugene Dougherty, DMD
• Stephanie Lynn Dougherty
• Emily Kaitlin Doughten
• Bobbi Erin Doughton, PHARM.D.
• Douglas N Beaman MD PC
• Angela Douglas, MD
• Bruce C Douglas, M.D.
• Cassandra Douglas, LMT
• Chloe Elise Douglas, MD

• Orthopaedic Surgery Physician in Portland, OR
• Providers in Portland, OR by specialty
• Orthopaedic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.