Individual
JAMI LEE BAILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
304 NE HOOD AVE, GRESHAM, OR 97030-7450
(503) 666-1333
Mailing address
304 NE HOOD AVE, GRESHAM, OR 97030-7450
(503) 666-1333
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4637
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299848
—
OR
01
—
83351002
BLUE CROSS BLUE SHEILD
OR
Enumeration date
12/15/2005
Last updated
05/05/2023
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