Individual
KALANI BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
500 5TH ST, BROOKINGS, OR 97415-9702
(541) 412-2000
(541) 469-2081
Mailing address
94220 4TH ST, GOLD BEACH, OR 97444-7756
(541) 247-3181
(541) 247-3122
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA12926
CA
363A00000X
Physician Assistant
12926
CA
363A00000X
Physician Assistant
Primary
158505
OR
Other
Enumeration date
08/08/2006
Last updated
03/31/2014
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