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NPI Code Detail

MEDICARE: CHRISTOPHER R BALDWIN MD

MEDICARE:   CHRISTOPHER R BALDWIN  MD
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
1207R00000XInternal Medicine PhysicianMD25501OR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00362643OTHERORRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033159074
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER R BALDWIN MD
Provider Business Mailing Address
First Line : 14230 NW BURTON ST
Second Line :
City : PORTLAND
State : OR
Zip : 97229-4329
Country : US
Telephone Number : 503-781-9840
Fax Number : 503-726-1039
Provider Business Practice Location Address
First Line : 6200 N. LACHOLLA BLVD.
Second Line :
City : TUCSON
State : AZ
Zip : 85755
Country : US
Telephone Number : 520-742-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 11/03/2022

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Directions to “ CHRISTOPHER R BALDWIN MD” Practice Location

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