| Rola P Baker MD PC | |
|
2282 Nw Troost St Suite 102 Roseburg OR 97470-6071 | |
| (541) 440-9128 | |
| (541) 440-9130 |
| Full Name | Rola P Baker MD PC |
|---|---|
| Speciality | Family Medicine |
| Location | 2282 Nw Troost St, Roseburg, Oregon |
| Authorized Official Name and Position | Rola P. Baker (PRESIDENT) |
| Authorized Official Contact | 5414409128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rola P Baker MD PC 2282 Nw Troost St Suite 102 Roseburg OR 97470-6071 Ph: (541) 440-9128 | Rola P Baker MD PC 2282 Nw Troost St Suite 102 Roseburg OR 97470-6071 Ph: (541) 440-9128 |
| NPI Number | 1750444972 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 01/29/2021 |
| Certification Date | 01/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750444972 | NPI | - | NPPES |
| 011119 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD16652 (Oregon) | Primary |
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