NPI 1649370644 · live from the CMS NPI Registry
Gregory J. Bahder, M.D.
Psychiatry & Neurology, Psychiatry in Medical Lake, WA. National Provider Identifier 1649370644, active.
NPI record
| NPI | 1649370644 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 850 Maple Street, Medical Lake, WA 99022 |
| Practice phone | 509-565-4000 |
| Mailing address | Po Box 800, Medical Lake, WA 99022 |
| Enumerated | September 22, 2006 |
| Last updated | November 18, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry | 2084P0800X | 10739 (NH) |
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | ML60600742 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.