Provider Demographics
NPI:1437278595
Name:JAMES J BIEMER JR MD, P.C.
Entity Type:Organization
Organization Name:JAMES J BIEMER JR MD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:BIEMER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:503-384-0316
Mailing Address - Street 1:9135 SW BARNES RD
Mailing Address - Street 2:SUITE 863
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-6601
Mailing Address - Country:US
Mailing Address - Phone:503-384-0316
Mailing Address - Fax:503-416-8145
Practice Address - Street 1:9135 SW BARNES RD
Practice Address - Street 2:SUITE 863
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-6601
Practice Address - Country:US
Practice Address - Phone:503-384-0316
Practice Address - Fax:503-416-8145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD16885207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORMD16885OtherLICENSE
ORMD16885OtherLICENSE
ORR103206Medicare PIN
ORF62152Medicare UPIN