- Practice location
- 10123 SE Market St, Portland, OR 97216-2532
- Phone
- 503-257-2500
- Fax
- —
- Last updated
- August 27, 2025
Carson C Bauder is a Family Medicine based in Portland, OR. Carson C Bauder practices in Portland, OR and has the professional credentials of MD. The NPI Number for Carson C Bauder is 1528265949 and holds a License No. ME104103 (FL). The current practice location address for Carson C Bauder is 10123 SE Market St, Portland, OR 97216-2532 and can be reached out via phone at 503-257-2500.
Provider Profile Details
- NPI Number
- 1528265949
- Provider Name
- Carson C Bauder
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 10123 SE Market St, Portland, OR 97216-2532
- Phone Number
- 503-257-2500
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 29, 2007
- Last Update Date
- August 27, 2025
- Certification Date
- August 27, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10123 SE Market St
Portland, OR 97216-2532 - City
- Portland
- State
- Oregon
- Zip
- 97216-2532
- Phone Number
- 503-257-2500
Provider Business Mailing Address Details
- Address
- 7259 S Bingham Junction Blvd
Midvale, UT 84047-4860 - City
- Midvale
- State
- UT
- Zip
- 84047-4860
- Phone Number
- 801-930-4907
License Information
- License Number (1)
- ME104103
- License State (1)
- FL
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- MD23215
- License State (2)
- ME
- Taxonomy (2)
- Family Medicine · 207Q00000X
- License Number (3)
- MD23215
- License State (3)
- ME
- Taxonomy (3)
- Hospitalist · 208M00000X
- License Number (4)
- MD168301
- License State (4)
- OR
- Taxonomy (4)
- Family Medicine · 207Q00000X · 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. Carson C Bauder, MD?
The NPI number of Dr. Carson C Bauder, MD is 1528265949. It was assigned on June 29, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Carson C Bauder, MD?
Dr. Carson C Bauder, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in FL under license number ME104103.
Where does Dr. Carson C Bauder, MD practice?
The practice location is 10123 SE Market St, Portland, OR 97216-2532. The office can be reached at 503-257-2500 (phone).
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 1528265949 directly on the NPPES registry website.