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Contact Information

SHELLY ANNE M BAKER, RN
4065 N ALASKA ST
PORTLAND, OR97203-2001
 Phone: 214-415-7743
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for SHELLY ANNE M BAKER · (Female)

NPI Number 1386132033
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 04/27/2018
Last updated 04/27/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 201705501RN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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