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Deactivated NPI 1972638211 Deactivated / Inactive NPI Male Practitioner

Dr. Douglas Bald , MD

Surgery • Portland, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Douglas Bald has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 23, 2007
NPI Deactivation Date December 07, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Bald, MD was a registered Surgery practicing in Portland, OR. Throughout an active medical career spanning 11 years, Dr. Bald provided care at the practice location at 10373 NE HANCOCK until profile deactivation on 2018-12-07.

Practice Location & Contact Primary Location

Practice Address

10373 Ne Hancock
Ste 118

Portland, OR 97220

Telephone 5032540331
Fax 5032542499
Associated Practice Facility / Clinic
🏢 Douglas Bald, M.d., P.c. Facility NPI 1194079392

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.9 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
177 Specialists

Practicing in Portland, OR (555 Statewide)

Telehealth Adoption Rate
23.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OR MD07634

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Douglas Grossnickle , MD

Internal Medicine - Geriatric Medicine

NPI 1669418810

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 07, 2018

Record deactivated on December 07, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 10373 NE HANCOCK, STE 118, PORTLAND, OR 97220 (Tel: 5032540331)

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Updated Business Mailing Address July 08, 2007

Registered at 10373 NE HANCOCK, SUITE 118, PORTLAND, OR 97220 (Tel: 5032540331)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DOUGLAS BALD, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #MD07634 in OR)

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Initial NPI Registration & Enumeration February 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972638211
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2007
Last Update: July 08, 2007
Deactivation Date: December 07, 2018

Mailing Address

10373 Ne Hancock, Suite 118

Portland, OR 97220

Phone: 5032540331

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.