Organization
ROLA P BAKER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLA P. BAKER MD (PRESIDENT)
(541) 440-9128
Entity
Organization
Contact information
Practice address
2282 NW TROOST ST, SUITE 102, ROSEBURG, OR 97470-6071
(541) 440-9128
(541) 440-9130
Mailing address
2282 NW TROOST ST, SUITE 102, ROSEBURG, OR 97470-6071
(541) 440-9128
(541) 440-9130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD16652
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011119
—
OR
Enumeration date
12/18/2006
Last updated
01/29/2021
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