Dana Bailey, FNP
Individual provider Active NPI Nurse Practitioner · Portland, OR
NPI 1639534720 · NPPES record last updated Dec 16, 2015
Key facts
- NPI
- 1639534720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 201509218NP-PP (OR)
- Practice address
- 9300 SE 91St Ave
Suite 400
Portland, OR 97086-3749 - Phone
- (503) 775-6500
- Fax
- (503) 775-2275
- NPI assigned
- Dec 16, 2015
- 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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201509218NP-PP | OR | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 201509218NP-PP | OR | Yes |
Addresses
Primary practice location
9300 SE 91St Ave
Suite 400
Portland, OR 97086-3749
Mailing address
9300 SE 91St Ave
Suite 400
Portland, OR 97086-3749
Phone (503) 775-6500
Other providers in Portland, OR
- Brenna Kate Bailey
- Brianne Michelle Bailey
- Brooke Bailey
- Catherine W Bailey
- Christopher Bailey
- Danielle Bailey
- Derrick Bailey
- Dominique Allen Bailey
- Erica Lynn Bailey
- Evan Bailey
All providers in Portland, OR · Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2015. 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.