Individual provider Active NPI

Teresa Erin Bair, D.O.

  • Family Medicine Physician
  • Portland, OR
National Provider Identifier
1730599564
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO185316 Issued in OR
Practice address
4275 NE Halsey St
Portland, OR 97213-1540
Phone
(503) 662-7226
Fax
(503) 676-5662
NPI assigned
May 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO185316 OR Primary

Addresses

Primary practice location

4275 NE Halsey St
Portland, OR 97213-1540

Mailing address

4275 NE Halsey St
Portland, OR 97213-1540
Phone (503) 662-7226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190830002838 OR Practitioner - Family Practice 8628370087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2505 SE 11TH Ave
Suite 268
Portland, OR 97202-1063
Phone (503) 662-7226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO185316ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bair Bones Osteopathic Family Medicine Inc Family Medicine CurrentSince Aug 4, 2024 Accepting new patients
Bair Bones Osteopathic Family Medicine Inc Family Medicine CurrentSince Jan 1, 2021 Accepting new patients

Locations

3519 NE 15th Ave
Portland, OR 97212

2505 SE 11th Ave
Ste 268
Portland, OR 97202
Phone (469) 514-4966

4275 NE Halsey St
Portland, OR 97213
Phone (503) 662-7226

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1730599564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131540",
            "telephone_number": "503-662-7226",
            "fax_number": "503-676-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131540",
            "telephone_number": "503-662-7226",
            "fax_number": "503-676-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIR",
        "first_name": "TERESA",
        "middle_name": "ERIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-01",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO185316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.