Provider Demographics
NPI:1124374491
Name:BAIRD, PATRICIA HELEN (RN BSN)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:HELEN
Last Name:BAIRD
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:HELEN
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN BSN
Mailing Address - Street 1:296 TERRA LINDA AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97404-1760
Mailing Address - Country:US
Mailing Address - Phone:541-463-1377
Mailing Address - Fax:
Practice Address - Street 1:296 TERRA LINDA AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404-1760
Practice Address - Country:US
Practice Address - Phone:541-463-1377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR085068867RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse