NPI 1528265949 · live from the CMS NPI Registry
Carson C Bauder, MD
Family Medicine in Portland, OR. National Provider Identifier 1528265949, active.
NPI record
| NPI | 1528265949 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 10123 Se Market St, Portland, OR 97216 |
| Practice phone | 503-257-2500 |
| Mailing address | 7259 S Bingham Junction Blvd, Midvale, UT 84047 |
| Enumerated | June 29, 2007 |
| Last updated | August 27, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | ME104103 (FL) |
| Family Medicine | 207Q00000X | MD23215 (ME) |
| Hospitalist | 208M00000X | MD23215 (ME) |
| Family Medicine primary | 207Q00000X | MD168301 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.