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Contact Information

JACOB BAGLEY, MD
300 PASTEUR DR
STANFORD, CA94305-2200
 Phone: 650-723-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Neuroradiology

2085N0700X
Indicates primary specialty

NPI Profile & details for JACOB BAGLEY · (Male)

NPI Number 1447678172
Status Active
Credentials MD
Entity Individual
Enumeration date 03/31/2014
Last updated 10/18/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A179465
  • OR License # MD205373
  • WI License # 81849
  • WI Medicaid 1000248086
Hospital affiliation(s)
  • OHSU HOSPITAL AND CLINICS - (Acute Care)
    3181 SW SAM JACKSON PARK ROAD
    PORTLAND, OR 97239
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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