MEDICARE: CHAD BYARS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	35075203	OH
2	207P00000X	Emergency Medicine Physician	MD27144	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124006671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHAD BYARS M.D.

Provider Business Mailing Address
First Line	:	9155 SW BARNES RD
Second Line	:	SUITE 420
City	:	PORTLAND
State	:	OR
Zip	:	97225-6625
Country	:	US
Telephone Number	:	503-297-6334
Fax Number	:	503-297-2360

Provider Business Practice Location Address
First Line	:	10150 SE 32ND AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97222-6516
Country	:	US
Telephone Number	:	503-513-1031
Fax Number	:	503-513-8469

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	09/30/2020

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Directions to “ CHAD BYARS M.D.” Practice Location

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