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DR. GROVER CARLTON BAGBY JR. MD
NPI 1962599910
Internal Medicine - Hematology in Portland, OR

Active since October 09, 2006
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-6594 Get Directions Write a Review

NPPES record last updated: January 29, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Grover Carlton Bagby Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GROVER CARLTON BAGBY JR. MD (NPI 1962599910) is an individual hematology provider in Portland, Oregon, licensed in Oregon (MD07879) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1962599910
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameDR. GROVER CARLTON BAGBY JR.Credential: MD
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3738 Sw Council Crest DrPortland, OR 97239-1522 · (503) 248-9216 · Fax (503) 721-7946
Phone(503) 494-6594
Sole ProprietorNo
Enumeration DateOctober 9, 2006
Last NPPES UpdateJanuary 29, 2009
✔ NPI 1962599910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License✔ Licensed in OR · MD07879
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
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Other Identifiers 2

Medicaid130248OR
Medicare UPINC92126

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONALD RICHARD SULLIVAN MD
Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Multnomah County (503) 494-6949
MRS. ANJALEE NIX ROWE NP
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-3988
REEM HASAN MD
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Multnomah County (503) 494-8562
DR. AMANDA D BALL PSY.D
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
SUNSHINE WELSCH LMT
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Multnomah County (503) 494-8349
DR. ROBERT GENE MEALER M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
GREGORY HALL MD
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 418-0990
DR. BURHAN AHMED MIAN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-8311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grover Bagby's NPI number?

The NPI number for Grover Bagby is 1962599910. It was assigned to this individual provider in the NPPES registry on October 9, 2006.

Where is Grover Bagby located?

Grover Bagby practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-6594.

What is Grover Bagby's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

When was this NPI record last updated?

The NPPES record for Grover Bagby was last updated on January 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.