NPI 1871428946 · live from the CMS NPI Registry
Jared Kent Baldridge, OD
Optometrist in Portland, OR. National Provider Identifier 1871428946, active.
NPI record
| NPI | 1871428946 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 3303 S Bond Ave, Portland, OR 97239 |
| Practice phone | 503-494-3000 |
| Mailing address | 1400 Sw 5th Ave Ste 500, Portland, OR 97201 |
| Enumerated | June 17, 2026 |
| Last updated | October 16, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | ATI4834 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.