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Organization

JAMES W BAKER MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CINDY M MADDEN (ADMINISTRATOR)
(503) 505-5937
Entity
Organization

Contact information

Practice address
9495 SW LOCUST ST STE A, PORTLAND, OR 97223-6683
(503) 636-9011
(503) 636-3952
Mailing address
9495 SW LOCUST ST STE A, PORTLAND, OR 97223-6683
(503) 636-9011
(503) 636-3952

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD08914
OR
207K00000X
Allergy & Immunology Physician
Primary
MD08914
OR
207KA0200X
Allergy Physician
MD08914
OR
207N00000X
Dermatology Physician
MD08916
OR

Other

Enumeration date
02/25/2008
Last updated
07/28/2015
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