Baker, Philip D

Baker, Philip D is an individual health care provider with primary practice located at 1015 Nw 22Nd Ave Ste T240, Portland OR 97210-3025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Baker, Philip D can be contacted via phone (503) 413-7127.

Contact Information

Primary practice address
1015 Nw 22Nd Ave Ste T240 Portland OR 97210-3025
Fax: (503) 227-0218
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD18935 Oregon

Profile Details

NPI number 1497781355
LBN Legal business name Baker, Philip D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Nov 22nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497781355 NPPES
Oregon Other 028036012 BCBS REGENCE
Oregon Other P00282471 BCBS REGENCE
Oregon MEDICAID 130068 BCBS REGENCE

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