Individual
CATHERINE D BAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
85 N 12TH AVE, CORNELIUS, OR 97113-9029
(503) 359-5564
(503) 352-7089
Mailing address
PO BOX 568, CORNELIUS, OR 97113-0568
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00379
OR
Other
Enumeration date
05/24/2006
Last updated
07/08/2007
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