Provider Demographics
NPI:1942402847
Name:BAINBRIDGE, TROY MICHAEL (PA-C, MPAS)
Entity Type:Individual
Prefix:MR
First Name:TROY
Middle Name:MICHAEL
Last Name:BAINBRIDGE
Suffix:
Gender:M
Credentials:PA-C, MPAS
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Mailing Address - Street 1:50 ALAMO AVE
Mailing Address - Street 2:
Mailing Address - City:WEED
Mailing Address - State:CA
Mailing Address - Zip Code:96094-2352
Mailing Address - Country:US
Mailing Address - Phone:503-853-1154
Mailing Address - Fax:
Practice Address - Street 1:912 PINE ST
Practice Address - Street 2:
Practice Address - City:MOUNT SHASTA
Practice Address - State:CA
Practice Address - Zip Code:96067-2143
Practice Address - Country:US
Practice Address - Phone:503-813-2614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-03
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical