Individual
MRS. JEANNE MARIE BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(888) 757-3422
(503) 570-9155
Mailing address
5585 NW 148TH AVE, PORTLAND, OR 97229-1825
(503) 504-4459
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4472
OR
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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