Individual
DESIREE BAER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239
(503) 220-8262
Mailing address
821 MANBRIN DR NE, KEIZER, OR 97303-4746
(971) 718-8881
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
201230193
OR
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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