Healthcare Provider Details

I. General information

NPI: 1770865305
Provider Name (Legal Business Name): BHUMY DAVE HELIKER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BHUMY DAVE MD

II. Dates (important events)

Enumeration Date: 09/09/2011
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5050 NE HOYT ST STE 353
PORTLAND OR
97213-2983
US

IV. Provider business mailing address

541 NE 20TH AVE STE 225
PORTLAND OR
97232-2895
US

V. Phone/Fax

Practice location:
  • Phone: 503-297-4123
  • Fax: 503-297-0344
Mailing address:
  • Phone: 503-963-2801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD207219
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberMD61225674
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberMD207219
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: