BREANNA LYNN BAKER NOWELL

PORTLAND, OR
NPI1922496934
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA170541)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: OR  PA170541)
Enumeration Date2014-12-26
Last Update Date2021-08-30
Business Address
BREANNA LYNN BAKER NOWELL PA-C
5050 NE HOYT ST STE 240
PORTLAND, OR 97213-2981
Phone number: 503-215-6480
Mailing Address
BREANNA LYNN BAKER NOWELL PA-C
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: