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Individual

HALLIE BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
304 JEFFERSON SCIO DR, JEFFERSON, OR 97352-9438
(503) 508-8526
Mailing address
304 JEFFERSON SCIO DR, JEFFERSON, OR 97352-9438
(503) 508-8526

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10028484
OR
363L00000X
Nurse Practitioner
10028484
OR
363LF0000X
Family Nurse Practitioner
Primary
10028484
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10028484
LICENSE
OR
Enumeration date
12/16/2024
Last updated
11/03/2025
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