Individual
MRS. KATHERINE M BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5331 SW MACADAM AVE STE 285, PORTLAND, OR 97239-3849
(503) 894-9118
Mailing address
3327 SE 68TH AVE, PORTLAND, OR 97206-2609
(503) 888-8657
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7624
OR
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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