Individual
ALEC BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9427 SW BARNES RD, SUITE 596, PORTLAND, OR 97225-6640
(503) 216-8670
(503) 216-8699
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00402
OR
363AS0400X
Surgical Physician Assistant
PA00402
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500604193
—
OR
01
—
P01193161
RR MEDICARE - PROVIDENCE
OR
Enumeration date
05/08/2006
Last updated
12/12/2025
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