Provider Demographics
NPI:1750300703
Name:BIEMER, JAMES J JR (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:BIEMER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 23200
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97281-3200
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD16885207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORMD16885OtherSTATE LICENSE NUMBER
OR057955Medicaid
ORBB2453847OtherDEA NUMBER
ORBB2453847OtherDEA NUMBER
ORR103206Medicare PIN