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NPI Verification

National Provider Identifier: 1184614455

Gennadiy Bakis, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine, Gastroenterology

Code: 207RG0100X

All Specialties (3)

Internal Medicine, Gastroenterology

Code: 207RG0100X

Internal Medicine

Code: 207R00000X

Internal Medicine, Gastroenterology

Code: 207RG0100X

Primary

Practice Address

541 NE 20TH AVE STE 225

PORTLAND, OR 972322895

Phone: 503-963-2801

NPI Enumeration Date

October 26, 2005

NPI Number

1184614455

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry