NPI 1902260425 · live from the CMS NPI Registry
Sarah Baca, DNP, FNP-C
Dermatology in West Linn, OR. National Provider Identifier 1902260425, active.
NPI record
| NPI | 1902260425 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1800 Blankenship Rd Ste 448, West Linn, OR 97068 |
| Practice phone | 503-929-7722 |
| Enumerated | April 11, 2016 |
| Last updated | December 11, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 201807125NP-PP (OR) |
| Dermatology primary | 207N00000X | 201807125NP-PP (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.