Individual
SHAREEN LEIGH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 249-3429
Mailing address
3755 NE SUMNER ST, PORTLAND, OR 97211-8066
(503) 473-3067
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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