| 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 |
| Medicare PECOS PAC ID | 2062595168 |
|---|---|
| Medicare Enrollment ID | O20080213000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750444972 | NPI | - | NPPES |
| 011119 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD16652 (Oregon) | Primary |
| Provider Name | Rola P Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720262462 PECOS PAC ID: 8527141621 Enrollment ID: I20080213000249 |
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