Individual
KRISTINA LYN BAJEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7735
(503) 494-4264
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7735
(503) 494-4264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD205354
OR
207R00000X
Internal Medicine Physician
MD60531626
WA
207RI0200X
Infectious Disease Physician
Primary
MD205354
OR
207RI0200X
Infectious Disease Physician
MD60531626
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275829129
—
WA
05
—
500666866
—
OR
Enumeration date
06/20/2011
Last updated
08/04/2021
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