Individual
ANDREA MARIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP STUDENT
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 813-2000
Mailing address
7723 SE 101ST AVE, PORTLAND, OR 97266-6005
(971) 706-4629
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10052604
OR
Other
Enumeration date
01/14/2022
Last updated
11/01/2025
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