ROBBIE BAHL MD LLC NPI 1073978284

NPI Information

ROBBIE BAHL, MD LLC is an addiction medicine family medicine in Portland, OR. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. ROBBIE BAHL, MD LLC NPI is 1073978284. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Shanti Recovery & Wellness.

The provider's business location address is:

3769 SE MILWAUKIE AVE
PORTLAND, OR
ZIP 97202-804
Phone: (503) 206-8850

The provider's authorized official is Robbie Bahl .
The authorized official title is Medical Director & Owner and has the following contact phone number (503) 206-8850.

The CLIA number assigned to this NPI record is 38D2072513 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2015 and was last updated on 12/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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