Individual
MYRA B BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2450 NE MARY ROSE PL STE 120, BEND, OR 97701-7132
(541) 382-3100
(541) 385-4935
Mailing address
2450 NE MARY ROSE PL STE 120, BEND, OR 97701-7132
(541) 382-3100
(303) 443-2784
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3111
CO
363A00000X
Physician Assistant
Primary
3111
OR
Other
Enumeration date
11/21/2006
Last updated
11/10/2020
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