NPI 1083613913 · live from the CMS NPI Registry
Diane Romayne Baker, MD
Dermatology in Portland, OR. National Provider Identifier 1083613913, active.
NPI record
| NPI | 1083613913 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 9495 Sw Locust St Ste A&E, Portland, OR 97223 |
| Practice phone | 503-471-0500 |
| Enumerated | July 21, 2005 |
| Last updated | July 29, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | MD08916 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.