Stephen Blake Bader (NPI# 1790787422, PAC ID# 4385542950) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
Nation Provider ID (NPI) | 1790787422 |
PAC ID by PECOS | 4385542950 |
Professional Enrollment ID | I20051026001200 |
Full Name | Stephen Blake Bader |
Organization Legal Name | OREGON CLINIC PC |
Address |
4805 Ne Glisan Garden Level Portland OR 97220 |
Phone Number | 5032156029 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
Graduation Year | 1984 |
Primary Specialty | RADIATION ONCOLOGY |
Group Practice PAC ID | 2860390408 |
Number of Group Practice Members | 280 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
380082 | PROVIDENCE MILWAUKIE HOSPITAL |
380038 | PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
4805 Ne Glisan Garden Level, Portland, OR 97220 | 5032156029 | OREGON CLINIC PC |
Organization Legal Name | OREGON CLINIC PC |
Physicians | 299 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael H Bourne | Pulmonary Disease | Oregon Clinic PC | 879 Providence Dr, Newberg, OR 97132-7563 |
Jin Hee Kim | Urology | Oregon Clinic PC | 19250 Sw 65th Ave, Tualatin, OR 97062-7745 |
Michael Jerome Kaempf | Urology | Oregon Clinic PC | 500n Columbia River Hwy, Saint Helens, OR 97051-1299 |
Michael Martin Owens | Gastroenterology | Oregon Clinic PC | 9701 Sw Barnes, Suite 300, Portland, OR 97225-6689 |
Eric Keith Hansen | Radiation Oncology | Oregon Clinic PC | 4805 Ne Glisan Garden Level, Portland, OR 97220 |
Jeffrey Joseph Weprin | Gastroenterology | Oregon Clinic PC | 18650 Nw Cornell Rd, Suite 212, Hillsboro, OR 97124-9208 |
Kenneth L Reckard | Physician Assistant | Oregon Clinic PC | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 |
Lorraine W Gohman | Physician Assistant | Oregon Clinic PC | 4805 Ne Glisan, Portland, OR 97213-2933 |
Pamela Dawn Voltz | Physician Assistant | Oregon Clinic PC | 4805 Ne Glisan, Portland, OR 97213-2933 |
Alyssa Marie O'brien | Registered Dietitian Or Nutrition Professional | Oregon Clinic PC | 1508 Division St, Suite 15, Oregon City, OR 97045-1583 |
Street Address |
4805 NE GLISAN GARDEN LEVEL |
City | PORTLAND |
State | OR |
Zip | 97220 |
Name | Specialty | Organization | Address |
---|---|---|---|
Eric Keith Hansen | Radiation Oncology | Oregon Clinic PC | 4805 Ne Glisan Garden Level, Portland, OR 97220 |
Steven Kysung Seung | Radiation Oncology | Oregon Clinic PC | 4805 Ne Glisan Garden Level, Portland, OR 97220 |
David Endicott Gannett Jr. | Radiation Oncology | Oregon Clinic PC | 4805 Ne Glisan Garden Level, Portland, OR 97220 |
Alice Wang Chesebro | Radiation Oncology | Oregon Clinic PC | 4805 Ne Glisan Garden Level, Portland, OR 97220 |
Amanda Verienna Hayman | Colorectal Surgery (proctology) | Oregon Clinic PC | 4805 Ne Glisan Garden Level, Portland, OR 97220 |
Name | Specialty | Organization | Address |
---|---|---|---|
David Scott Menashe | Urology | Oregon Clinic PC | 5050 Ne Hoyt, Suite 514, Portland, OR 97220 |
Jeannie Louie | Radiation Oncology | Oregon Clinic PC | 9205 Sw Barnes Rd, Portland, OR 97220 |
Brian Nmi Lee | Radiation Oncology | Oregon Clinic PC | 9205 Sw Barnes Rd, Portland, OR 97220 |
Jennifer M Young | Qualified Audiologist | Oregon Clinic PC | 5050 Ne Hoyt, Suite 514, Portland, OR 97220 |
Anthony N Rosati | Physical Therapy | Gateway Parkrose Sports Care Pt LLC | 10748 Ne Halsey St, Portland, OR 97220-2013 |
Kristin Devoto | Physical Therapy | Gateway Parkrose Sports Care Pt LLC | 10748 Ne Halsey St, Portland, OR 97220-2013 |
Joseph J Fricke | Physical Therapy | Gateway Parkrose Sports Care Pt LLC | 10748 Ne Halsey St, Portland, OR 97220-2013 |
Daniel L Delapp | Chiropractic | 12141 Nehalsey St, Portland, OR 97220-2042 | |
Cyndi R Myers | Chiropractic | 12143 Ne Halsey St, Suite A, Portland, OR 97220-2042 | |
Jasmar Reddin | Chiropractic | 11731 Ne Glisan St, Portland, OR 97220-2141 | |
Find all physicians in zip 97220 |
City | PORTLAND |
Zip Code | 97220 |
Specialty | RADIATION ONCOLOGY |
City + Specialty | PORTLAND + RADIATION ONCOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.