Individual
TAMARA LEE BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14600 NW CORNELL RD, PORTLAND, OR 97229
(503) 688-8060
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 688-8060
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
200843129RN
OR
Other
Enumeration date
03/30/2012
Last updated
04/20/2012
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