Individual
BRIAN ALLEN BAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
3930 SE DIVISION ST, PORTLAND, OR 97202-1643
(503) 418-3900
Mailing address
414 N MERIDIAN ST, #V291, NEWBERG, OR 97132-2697
(503) 278-0885
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
NONE
—
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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