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Mary J. Baker, FNP
Family Nurse Practitioner in Shady Cove, Oregon
NPI 1053650960

Mary J. Baker is a Family Nurse Practitioner based in Shady Cove, OR and is specialized in Family. Mary J. Baker practices in Shady Cove, OR and has the professional credentials of FNP. The NPI Number for Mary J. Baker is 1053650960 and holds a License No. 201350028NP (Oregon).

The current practice location address for Mary J. Baker is 21990 Highway 62, Shady Cove, OR and can be reached out via phone at 541-878-2022 and via fax at 541-878-1498.

Location: 21990 Highway 62, Shady Cove, OR, 97539-0428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053650960
Provider Name
Mary J. Baker
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
21990 Highway 62, Shady Cove, OR, 97539-0428
Phone Number
541-878-2022
Fax Number
541-878-1498
Provider Enumeration Date
02/13/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500655794 05 OR
institution
Provider Business Practice Location Address Details
Address
21990 Highway 62
City
Shady Cove
State
Oregon
Zip
97539-9717
Phone Number
541-878-2022
Fax Number
541-878-1498
person
Provider Business Mailing Address Details
Address
21990 Highway 62
City
Shady Cove
State
Oregon
Zip
97539-9717
Phone Number
541-878-2022
Fax Number
541-878-1498
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
201350028NP (Oregon)
Definition
Definition to come...
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