Janet M Bates, M.D.
Individual provider Active NPI Family Medicine Physician · Bandon, OR
NPI 1295745982 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295745982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD19515 (OR)
- Practice address
- 1000 6TH St SW
Bandon, OR 97411-9529 - Phone
- (541) 297-1974
- Fax
- (512) 342-9949
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19515 | OR | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD19515 | OR | Yes |
Addresses
Primary practice location
1000 6TH St SW
Bandon, OR 97411-9529
Mailing address
89569 Sunny Loop Lane
Bandon, OR 97411
Phone (541) 297-1974
Other providers in Bandon, OR
- Bandon Coastal Dental, LLC
- Bandon Community Health Center
- Bandon Family Medicine, LLC
- Bandon Pharmacy
- Bandon Senior Living LLC
- Kenneth Robert Bates
- Rosemary Winifred Bean
- Blue Diamond Estates
- Linda M Bono
- Christina Marie Brakebill
All providers in Bandon, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.