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Individual

DR. ADAM PARKS BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10000 SE MAIN ST STE 224, PORTLAND, OR 97216-2469
(503) 261-6961
(503) 261-6959
Mailing address
10000 SE MAIN ST STE 224, PORTLAND, OR 97216-2469
(503) 261-6961
(503) 261-6959

Taxonomy

Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
MD154995
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500654149
OR
Enumeration date
04/02/2008
Last updated
09/09/2014
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