Individual
LISA RENE HODGERS BAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9701 SW BARNES RD STE 150, PORTLAND, OR 97225-6689
(503) 734-3535
(503) 734-3530
Mailing address
7650 SW BEVELAND RD STE 200, PORTLAND, OR 97223-8692
(503) 601-3615
(503) 646-1683
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200650137NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500764701
—
OR
Enumeration date
04/12/2007
Last updated
01/28/2026
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