IndividualActive
Sam Bae, M.D., D.D.S.
NPI 1124381629 · Oral & Maxillofacial Surgery (D.M.D.) · Tualatin, OR
Provider details
- NPI number
- 1124381629
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- M.D., D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 33845 (TX)
Mailing address
6464 Sw Borland Rd Ste D3
Tualatin, OR 97062-8861
Registry dates
- Enumerated
- 2012-06-19
- Last updated
- 2019-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.