Amelia H Baker (NPI# 1144649179, PAC ID# 4082831763) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1144649179 |
| PAC ID by PECOS | 4082831763 |
| Professional Enrollment ID | I20181008003105 |
| Full Name | Amelia H Baker |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Address |
4920 N Interstate Ave Portland OR 97217-3653 |
| Phone Number | 5032153300 |
| Gender | F |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0648183608 |
| Number of Group Practice Members | 1163 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4920 N Interstate Ave, Portland, OR 97217-3653 | 5032153300 | PROVIDENCE HEALTH AND SERVICES OREGON |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Physicians | 1491 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yeong Paul Park | Physical Therapy | Providence Health and Services Oregon | 1627 Woods Ct, Prov Gorg Spi/spo M, Hood River, OR 97031-2915 |
| Traci Ackron | Family Medicine | Providence Health and Services Oregon | 909 Sw 18th Ave, Prov Med Gr Spor Car, Portland, OR 97205-1705 |
| Tierney Newman | Nurse Practitioner | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Angie R Cronin | Psychologist, Clinical | Providence Health and Services Oregon | 1332 S Shasta Ave, Suite A, Eagle Point, OR 97524-8623 |
| Jennifer N Herr | Nurse Practitioner | Providence Health and Services Oregon | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Jaecelle Guadiz Galeniece | Family Medicine | Providence Health and Services Oregon | 1003 Providence Dr, Suite 325, Newberg, OR 97132-7521 |
| Sandra Iloka | Family Medicine | Providence Health and Services Oregon | 16770 Sw Edy Rd, 102 Pmg Sherwood Imed Cr, Sherwood, OR 97140-9679 |
| Duy Quang Tran | Family Medicine | Providence Health and Services Oregon | 839 Ne Holladay St, Portland, OR 97232-3521 |
| Steven Vorenkamp | Orthopedic Surgery | Providence Health and Services Oregon | 814 13th St, Hood River, OR 97031-1210 |
| Andrew S Tang | Physical Medicine and Rehabilitation | Providence Health and Services Oregon | 827 Spring St, Medford, OR 97504-6104 |
| Street Address |
4920 N INTERSTATE AVE |
| City | PORTLAND |
| State | OR |
| Zip | 97217-3653 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan W Engle | Psychologist, Clinical | Providence Health and Services Oregon | 4920 N Interstate Ave, Portland, OR 97217-3653 |
| Maliheh M Nakhai | Family Medicine | Providence Health and Services Oregon | 4920 N Interstate Ave, Portland, OR 97217-3653 |
| Jamie L Randles | Family Medicine | Providence Health and Services Oregon | 4920 N Interstate Ave, Portland, OR 97217-3653 |
| Kim J Wehbe | Nurse Practitioner | Providence Health and Services Oregon | 4920 N Interstate Ave, Portland, OR 97217-3653 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jona A Johnson | Optometry | Eye Health Northwest P.C. | 3246 N Lombard St, Portland, OR 97217-1206 |
| Evan Rian Johnson | Nurse Practitioner | Multnomah County | 900 N Lombard St, Portland, OR 97217-1346 |
| Christine E Hines | Clinical Social Worker | 5517 N Commercial Ave, Portland, OR 97217-2339 | |
| Tara Crowley | Clinical Social Worker | 5517 N Commercial Ave, Portland, OR 97217-2339 | |
| John G Sickler | Clinical Social Worker | 4124 N Mississippi Ave, Portland, OR 97217-3131 | |
| Thomas W Ross | Clinical Psychologist | 4231n Interstate Ave, Portland, OR 97217-3200 | |
| Carol S Jones | Psychologist, Clinical | 4231 N Interstate Ave, Portland, OR 97217-3200 | |
| Rachel M Etringer | Nurse Practitioner | Providence Health and Services Oregon | 4340 N Interstate Ave, Providence Express Care Interstate, Portland, OR 97217-3211 |
| Amelia Sarah Evans | Family Practice | Providence Health and Services Oregon | 4340 N Interstate Ave, Providence Express Care Interstate, Portland, OR 97217-3211 |
| Caroline Alexa Kobin | Clinical Social Worker | 1606 N Ainsworth St, Portland, OR 97217-4708 | |
| Find all physicians in zip 97217 | |||
| City | PORTLAND |
| Zip Code | 97217 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PORTLAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Amelia H Baker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.