Organization
KEVIN BAXTER DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKILYN BAXTER (CORPORATE SECRETARY)
(503) 741-3570
Entity
Organization
Contact information
Practice address
10 PIER 1 STE 301, ASTORIA, OR 97103-6338
(503) 741-3570
(503) 741-3569
Mailing address
PO BOX 450, ASTORIA, OR 97103-0450
(503) 741-3570
(503) 741-3569
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO24314
CA
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2007
Last updated
02/12/2021
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