Individual
DR. DIANE L BAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
360 S.GARDEN WAY, SUITE 210, EUGENE, OR 97401
(541) 683-3202
(541) 868-1063
Mailing address
PO BOX 10605, EUGENE, OR 97440-2605
(541) 683-3202
(641) 868-1063
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD19050
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128152
—
OR
Enumeration date
06/06/2006
Last updated
01/31/2011
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