Individual
JARED KENT BALDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 SW CAMPUS DR, PORTLAND, OR 97239-3130
(503) 418-5045
Mailing address
361 S DODGE DR, CHANDLER, AZ 85225-2303
(208) 941-6145
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ATI4834
OR
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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