Individual
DIANE ROMAYNE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9495 SW LOCUST ST STE A&E, PORTLAND, OR 97223-6683
(503) 471-0500
(503) 471-0504
Mailing address
9495 SW LOCUST ST STE A&E, PORTLAND, OR 97223-6683
(503) 471-0500
(503) 471-0504
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD08916
OR
Other
Enumeration date
07/21/2005
Last updated
07/29/2015
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