Organization Active NPI

Bauer Medical Association

  • General Practice Physician
  • Lake Oswego, OR
National Provider Identifier
1437691938
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BAUER MEDICAL ASSOCIATION
Practice address
15962 Boones Ferry Rd
Lake Oswego, OR 97035-4351
Phone
(503) 579-5000
NPI assigned
Nov 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Authorized official

Name
Patrick Larson
Title
Office Manager
Phone
(503) 579-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X OR Primary

Addresses

Primary practice location

15962 Boones Ferry Rd
Lake Oswego, OR 97035-4351

Mailing address

14780 SW Osprey Dr Ste 325
Beaverton, OR 97007-8069
Phone (503) 579-5000

National Provider Directory

National Provider Directory

Locations

15962 Boones Ferry Rd
Lake Oswego, OR 97035
Phone (503) 579-5000

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1437691938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14780 SW OSPREY DR STE 325",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078069",
            "telephone_number": "503-579-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15962 BOONES FERRY RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354351",
            "telephone_number": "503-579-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAUER MEDICAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-579-5000"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.