Provider Demographics
NPI:1043415102
Name:BAY, BOBBIE J (LMT)
Entity Type:Individual
Prefix:MS
First Name:BOBBIE
Middle Name:J
Last Name:BAY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3106 NE 64
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-4524
Mailing Address - Country:US
Mailing Address - Phone:503-281-2877
Mailing Address - Fax:
Practice Address - Street 1:3106 NE 64
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-4524
Practice Address - Country:US
Practice Address - Phone:503-281-2877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist