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Individual

DR. KATE BAYLISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
2700 NW STEWART PKWY DEPT OF, ROSEBURG, OR 97471-1214
(541) 673-0611
Mailing address
2700 NW STEWART PKWY DEPT OF, ROSEBURG, OR 97471-1214
(541) 673-0611

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD203867
OR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500796201
OR
Enumeration date
03/22/2018
Last updated
10/11/2022
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