Individual provider · NPI-1

Ramesis Bacolod, MD

Family Medicine · Grants Pass, OR

NPI number1205196417
StatusActive
Last updated in NPPESDec 20, 2021

Details

NPI
1205196417
Entity type
Individual (NPI-1)
Name
Ramesis Bacolod
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 22, 2012
Certification date
Jul 22, 2021
Last updated
Dec 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD171022ORYes
207Q00000X Family MedicineRL12297ND

Practice location

700 Sw Ramsey Ave
Suite 101
Grants Pass, OR 97527-5786

Phone 541-507-2080 · Fax 541-507-2081

Mailing address

2620 E Barnett Rd
Suite H
Medford, OR 97504-8383

Phone 541-789-4281 · Fax 541-789-2558

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