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Individual

WILLIAM KENT BALDWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, BSN

Contact information

Practice address
412 SW 12TH AVE, PORTLAND, OR 97205-2329
(503) 228-7134
(503) 445-0749
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 294-1681
(503) 241-7419

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
200642896RN
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
200642896RN
OR

Other

Enumeration date
03/12/2007
Last updated
02/09/2009
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