MEDICARE: BAILEY SOELLER

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	163WE0003X	Emergency Registered Nurse	10054839	OR

General Provider Information

NPI Number	:	1851259873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAILEY SOELLER

Provider Business Mailing Address
First Line	:	5435 SE AMITY RD
Second Line	:
City	:	AMITY
State	:	OR
Zip	:	97101-2324
Country	:	US
Telephone Number	:	503-979-4970
Fax Number	:

Provider Business Practice Location Address
First Line	:	5435 SE AMITY RD
Second Line	:
City	:	AMITY
State	:	OR
Zip	:	97101-2324
Country	:	US
Telephone Number	:	503-979-4970
Fax Number	:

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

Provider Enumeration Date	:	01/10/2026
Last Update Date	:	01/10/2026

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Directions to “ BAILEY SOELLER ” Practice Location

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