Baker, Phillip D
Baker, Phillip 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, Phillip D can be contacted via phone (503) 413-7127.Contact Information
Primary practice address
1015 Nw 22Nd Ave Ste T240
Portland OR 97210-3025
Phone: (503) 413-7127
Fax: (503) 227-0218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD18935 | Oregon |
Profile Details
| NPI number | 1497781355 |
|---|---|
| LBN Legal business name | Baker, Phillip D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Jul 31st, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497781355 | NPPES |
| Oregon | Other | 028036012 | BCBS REGENCE |
| Oregon | Other | P00282471 | BCBS REGENCE |
| Oregon | MEDICAID | 130068 | BCBS REGENCE |
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