Individual
DAVID V. BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3003 WILLAMETTE, EUGENE, OR 97405
(541) 686-2598
Mailing address
PO BOX 11143, EUGENE, OR 97440-3343
(541) 686-2598
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0815
OR
103TB0200X
Cognitive & Behavioral Psychologist
0815
OR
103TC0700X
Clinical Psychologist
Primary
0815
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08329000
BCBS-OR
OR
01
—
J910501
PSA
OR
Enumeration date
05/08/2007
Last updated
12/20/2010
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