Individual
DR. JULIET BAELE X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
650 NW PERSIMMON PL, BEAVERTON, OR 97006-8390
(971) 777-3545
Mailing address
10510 NE EVERGREEN PKWY APT 147, HILLSBORO, OR 97124-7875
(971) 777-3545
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
2084P0800X
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66543201
PRIVATE PRACTICE
—
Enumeration date
08/10/2021
Last updated
08/10/2021
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