Patrick W. Bauer, MD
Individual provider Active NPI Pediatrics Physician · Happy Valley, OR
NPI 1780194142 · NPPES record last updated Dec 11, 2025
Key facts
- NPI
- 1780194142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD21493 (OR)
- Practice address
- 9300 SE 91St Ave Ste 200
Happy Valley, OR 97086-3762 - Phone
- (503) 261-1171
- NPI assigned
- Oct 11, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|
| MD21493 | OR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| University of Utah Pediatric Services | Pediatrics | Current | Accepting new patients |
| Metropolitan Pediatrics, LLC | Pediatrics | Past |
Accepting new patients |
Locations
81 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 662-5700
100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109
Interoperability endpoints
- pbauer1452329@direct.lhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD21493 | OR | Yes |
Addresses
Primary practice location
9300 SE 91St Ave Ste 200
Happy Valley, OR 97086-3762
Mailing address
9300 SE 91St Ave Ste 200
Happy Valley, OR 97086-3762
Phone (503) 261-1171
Other providers in Happy Valley, OR
- Rochelle Marie Barber
- Barefoot and Balanced, LLC
- Reva M Barewal
- Ivana Karmen Baricevic
- Richard J Barsotti
- Navaz Behramkamdin
- Albert Sessions Belais
- Antwon Tashaad Bell
- Lacy Benoit
- Arlen Berger
All providers in Happy Valley, OR · Pediatrics 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 Dec 11, 2025. 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.