CANAAN THOMAS BAER

LEGACY CLINICS LLC

Dr CANAAN THOMAS BAER is a male medical professional, specializing in Colorectal Surgery (proctology). He graduated in 2011 from Case Western Reserve University School Of Medicine.

Contact

LEGACY CLINICS LLC

25050 SE STARK ST
SUITE 265
GRESHAM
OR
970303383

Tel: 5036741520

CANAAN THOMAS BAER Information

Npi 1730488453
Pac Id 4981840097
Professional Enrollment Id I20170920003871
Last Name BAER
First Name CANAAN
Middle Name THOMAS
Suffix
Gender M
Credential
Medical School Name CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2011
Primary Specialty COLORECTAL SURGERY (PROCTOLOGY)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LEGACY CLINICS LLC
Group Practice Pac Id 0244144004
Number Of Group Practice Members 460
Line 1 Street Address 25050 SE STARK ST
Line 2 Street Address SUITE 265
Marker Of Address Line 2 Suppression
City GRESHAM
State OR
Zip Code 970303383
Phone Number 5036741520
Hospital Affiliation Ccn 1 380025
Hospital Affiliation Lbn 1 LEGACY MOUNT HOOD MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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