NPI 1366577751 · live from the CMS NPI Registry
Allen Wayne Baker, O.D.
Optometrist in Sherwood, OR. National Provider Identifier 1366577751, active.
NPI record
| NPI | 1366577751 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 15972 Sw Tualatin Sherwood Rd, Sherwood, OR 97140 |
| Practice phone | 503-625-5665 |
| Enumerated | February 23, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 1885ATI (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.