Basic Information
Provider Information
NPI: 1962606483
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BALDWIN
FirstName: MAUREEN
MiddleName: KATHERINE
NamePrefix: DR.
NameSuffix:  
Credential: M.D., M.P.H.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 808 SW CAMPUS DR
Address2: CENTER FOR WOMEN'S HEALTH
City: PORTLAND
State: OR
PostalCode: 972393008
CountryCode: US
TelephoneNumber: 5034184500
FaxNumber: 5034941678
Practice Location
Address1: 808 SW CAMPUS DR
Address2: CENTER FOR WOMEN'S HEALTH
City: PORTLAND
State: OR
PostalCode: 972393008
CountryCode: US
TelephoneNumber: 5034184500
FaxNumber: 5034941678
Other Information
ProviderEnumerationDate: 06/11/2007
LastUpdateDate: 06/09/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMD60218135WAN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000XMD154537ORY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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