Individual
MRS. MARTI L BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP
Contact information
Practice address
1410 NE 106TH AVE, PORTLAND, OR 97220-3934
(503) 460-0405
(503) 460-0434
Mailing address
1410 NE 106TH AVE, PORTLAND, OR 97220-3934
(503) 460-0405
(503) 460-0434
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
092000422N5
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210269
—
OR
Enumeration date
09/04/2009
Last updated
03/22/2017
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