Individual
BENJAMIN JAMES BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
1813 W HARVARD AVE STE 110, ROSEBURG, OR 97471-2753
(541) 391-8155
(541) 391-8154
Mailing address
1813 W HARVARD AVE STE 110, ROSEBURG, OR 97471-2753
(541) 391-8155
(541) 391-8154
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA172681
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA172681
LICENSE
OR
Enumeration date
01/14/2011
Last updated
02/10/2026
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