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NPI Code Detail

MEDICARE: JESSICA BAEZ M.D.

MEDICARE: JESSICA BAEZ M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianMD229036OR
2207P00000XEmergency Medicine Physician57.025924OH

General Provider Information

NPI Number : 1730574344
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA BAEZ M.D.
Provider Business Mailing Address
First Line : 3181 SW SAM JACKSON PARK RD
Second Line :
City : PORTLAND
State : OR
Zip : 97239-3011
Country : US
Telephone Number : 503-494-4322
Fax Number :
Provider Business Practice Location Address
First Line : 234 GOODMAN ST
Second Line : CENTER FOR EMERGENCY CARE
City : CINCINNATI
State : OH
Zip : 45219-2364
Country : US
Telephone Number : 513-558-8114
Fax Number : 513-558-5791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2015
Last Update Date : 06/09/2026

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Directions to “ JESSICA BAEZ M.D.” Practice Location

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