Individual
MS. SALLY SUE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2120 EXCHANGE ST, 111, ASTORIA, OR 97103-3365
(503) 325-0333
(503) 325-6333
Mailing address
2120 EXCHANGE ST, 111, ASTORIA, OR 97103-3365
(503) 325-0333
(503) 325-6333
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
01141
OR
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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