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NPI Code Detail

MEDICARE: LEAH BAHN SWIFT DO

MEDICARE:   LEAH BAHN SWIFT  DO
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
1208000000XPediatrics Physician2015-01414NC
2208000000XPediatrics PhysicianDO204314OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21550817OTHERNCWELLPATH
31437416377OTHERNCHEALTHSMART
41437416377OTHERNCHUMANA
5296288OTHERNCMEDCOST
65383832OTHERNCAETNA
719DTROTHERNCBCBS OF NC
85591611OTHERNCUNITED HEALTHCARE
9FH1101855OTHERNCFIRST CAROLINA CARE
101437416377OTHERNCHEALTHNET FEDERAL SERVICES
114571410OTHERNCCOVENTRY NATIONAL- COVENTRY PPO
1213436877OTHERNCPHCS/MULTIPLAN
131437416377OTHERNCDOCTORS DIRECT
141550817OTHERNCCOVENTRY OF THE CAROLINAS
155682542OTHERNCCIGNA/GREATWEST

General Provider Information

NPI Number : 1437416377
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH BAHN SWIFT DO
Provider Business Mailing Address
First Line : PO BOX 2847
Second Line :
City : CORVALLIS
State : OR
Zip : 97339-2847
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 531 N HIGHWAY 101 STE A
Second Line :
City : DEPOE BAY
State : OR
Zip : 97341-9572
Country : US
Telephone Number : 541-765-3265
Fax Number : 541-765-3260
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2012
Last Update Date : 08/13/2021

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