Grover Carlton Bagby in Portland - Hematology
Grover Carlton Bagby - NPI 1962599910
Grover Carlton Bagby is a Hematology in Portland, Oregon. Grover Carlton Bagby practices all healthcare services and medical treatments related to Hematology. The NPI Number for Grover Carlton Bagby is 1962599910. The last update date is 2009-01-29.
Grover Carlton Bagby's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034946594. The mailing address for Grover Carlton Bagby is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grover Carlton Bagby |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034946594 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962599910 |
|---|---|
| Provider Enumeration Date | 2006-10-09 |
| Last Updated Date | 2009-01-29 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034946594 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Hematology |
|---|---|
| Taxonomy | 207Rh0000X |
| Licence No | MD07879 |
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Definition: An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 130248 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Grover Carlton Bagby by the Centers for Medicare & Medicaid Services?
The Grover Carlton Bagby has been assigned the NPI (National Provider Identifier) 1962599910 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Grover Carlton Bagby?
The Grover Carlton Bagby is physically situated at 3181 Sw Sam Jackson Park Rd, in the city of Portland, state of OR, with the postal code 972393011.
What is the Grover Carlton Bagby's specialty and taxonomy code?
The Grover Carlton Bagby's specialty is Hematology, and the corresponding taxonomy code is 207Rh0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1962599910 to Grover Carlton Bagby?
The Centers for Medicare & Medicaid Services assigned the 1962599910 to Grover Carlton Bagby on 2006-10-09.
As of what date was the information pertaining to Grover Carlton Bagby, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Grover Carlton Bagby, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-01-29.