Individual
ANDREW BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2601 25TH ST SE STE 430, SALEM, OR 97302-1285
(503) 854-0370
Mailing address
9015 SW WOODSIDE DR, PORTLAND, OR 97225-1749
(503) 881-4256
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12028
OR
Other
Enumeration date
07/11/2024
Last updated
07/15/2024
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