Individual
MR. PAUL DAVID BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
450 S KITSAP BLVD, PORT ORCHARD, WA 98366-3773
(360) 874-5900
Mailing address
450 S KITSAP BLVD, PORT ORCHARD, WA 98366-3773
(360) 874-5900
(360) 769-0614
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30004763
WA
363LF0000X
Family Nurse Practitioner
AP30004763
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9622556
—
WA
Enumeration date
08/12/2005
Last updated
02/18/2021
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