NPI 1205196417 · live from the CMS NPI Registry
Ramesis Bacolod, MD
Family Medicine in Grants Pass, OR. National Provider Identifier 1205196417, active.
NPI record
| NPI | 1205196417 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 700 Sw Ramsey Ave, Suite 101, Grants Pass, OR 97527 |
| Practice phone | 541-507-2080 |
| Mailing address | 2620 E Barnett Rd, Suite H, Medford, OR 97504 |
| Enumerated | May 22, 2012 |
| Last updated | December 20, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | RL12297 (ND) |
| Family Medicine primary | 207Q00000X | MD171022 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.