- Practice location
- 1111 NE 99TH Ave Ste 301, Portland, OR 97220-9442
- Phone
- 503-963-2707
- Fax
- 503-963-2802
- Last updated
- October 8, 2026
Gennadiy Bakis is an Internal Medicine, Gastroenterology based in Portland, OR. Gennadiy Bakis practices in Portland, OR and has the professional credentials of MD. The NPI Number for Gennadiy Bakis is 1184614455 and holds a License No. MD21774 (ME). The current practice location address for Gennadiy Bakis is 1111 NE 99TH Ave Ste 301, Portland, OR 97220-9442 and can be reached out via phone at 503-963-2707 and via fax at 503-963-2802.
Provider Profile Details
- NPI Number
- 1184614455
- Provider Name
- Gennadiy Bakis
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1111 NE 99TH Ave Ste 301, Portland, OR 97220-9442
- Phone Number
- 503-963-2707
- Fax Number
- 503-963-2802
- Primary Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 26, 2005
- Last Update Date
- October 8, 2026
- Certification Date
- October 8, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1111 NE 99TH Ave Ste 301
Portland, OR 97220-9442 - City
- Portland
- State
- Oregon
- Zip
- 97220-9442
- Phone Number
- 503-963-2707
- Fax Number
- 503-963-2802
Provider Business Mailing Address Details
- Address
- 541 NE 20TH Ave Ste 225
Portland, OR 97232-2895 - City
- Portland
- State
- OR
- Zip
- 97232-2895
- Phone Number
- 503-963-2801
- Fax Number
- 503-963-2825
License Information
- License Number (1)
- MD21774
- License State (1)
- ME
- Taxonomy (1)
- Internal Medicine, Gastroenterology · 207RG0100X
- License Number (2)
- MD151230
- License State (2)
- OR
- Taxonomy (2)
- Internal Medicine · 207R00000X
- License Number (3)
- MD151230
- License State (3)
- OR
- Taxonomy (3)
- Internal Medicine, Gastroenterology · 207RG0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Gennadiy Bakis, MD?
The NPI number of Dr. Gennadiy Bakis, MD is 1184614455. It was assigned on October 26, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Gennadiy Bakis, MD?
Dr. Gennadiy Bakis, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in ME under license number MD21774.
Where does Dr. Gennadiy Bakis, MD practice?
The practice location is 1111 NE 99TH Ave Ste 301, Portland, OR 97220-9442. The office can be reached at 503-963-2707 (phone) or 503-963-2802 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184614455 directly on the NPPES registry website.