DR. SARAH BACA (NPI# 1902260425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902260425 |
| Entity Type | Individual |
| Full Name | DR. SARAH BACA |
| Credential | DNP, FNP-C |
| Practice Address |
1800 Blankenship Rd Ste 448 West Linn OR 97068-4191 |
| Practice Telephone | 5039297722 |
| Mailing Telephone | 5039297722 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2018-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 201807125NP-PP | OR | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | 201807125NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164975322 | Sarah Baca | Dental Hygienist | 550 Fifth St., Calhan, CO 80808-0041 | 2016-07-25 |
| 1487895678 | Sarah K. Baca | Physician Assistant | 23961 Calle De La Magdalena, Suite 130, Laguna Hills, CA 92653-3616 | 2009-03-17 |
| Street Address |
1800 BLANKENSHIP RD STE 448 |
| City | WEST LINN |
| State | OR |
| Zip Code | 97068-4191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770102329 | Carolin Sachiko Kong | Dermatology | 1800 Blankenship Rd Ste 448, West Linn, OR 97068-4191 | 2020-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678224 | Bethany Joy Bivin | Registered Nurse | 2020 8th Ave Ste 230, West Linn, OR 97068 | 2019-06-19 |
| 1932612777 | Portland Dental Works, LLC | Dentist | 1750 Mckillican, West Linn, OR 97068 | 2017-11-15 |
| 1316460702 | Cameron Johnson Dc LLC | Chiropractor | 21400 Salamo Rd, West Linn, OR 97068 | 2017-07-18 |
| 1376913301 | Genesis Medical Concepts, LLC | Durable Medical Equipment & Medical Supplies | 2020 8th Ave Ste 222, West Linn, OR 97068 | 2015-10-02 |
| 1780052977 | Amanda Carole Tipton | Chiropractor | 21860 Willamette Drive, West Linn, OR 97068 | 2015-09-04 |
| 1457766859 | Eyedeology, Inc | Optometrist | 5656 Hood St. Ste 107, West Linn, OR 97068 | 2014-06-24 |
| 1740694660 | Ariana Bissinger | Nurse Practitioner | 1148 Rosemont Rd, West Linn, OR 97068 | 2014-06-18 |
| 1154606887 | Heather Marie Ellison | Massage Therapist | 22000 Willamette Dr., #107, West Linn, OR 97068 | 2011-10-13 |
| 1336432616 | Lisa Grage | Dental Hygienist | 3551 Coeur D'alene Dr., West Linn, OR 97068 | 2011-05-19 |
| 1316240583 | David Robert Gleave | Psychologist | 1800 Blankenship Rd Ste 200, West Linn, OR 97068 | 2010-12-10 |
| Find all providers in zip 97068 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770102329 | Carolin Sachiko Kong | Dermatology | 1800 Blankenship Rd Ste 448, West Linn, OR 97068-4191 | 2020-04-14 |
| 1396910451 | Farnaz Dana Fakhari | Dermatology | 18380 Willamette Dr, 201, West Linn, OR 97068-1200 | 2008-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891327185 | Clear Choice Dermatology | Dermatology | 1815 E 15th St Ste B, The Dalles, OR 97058-3309 | 2020-02-05 |
| 1508303561 | Carter Kroeplin Haag | Dermatology | 3303 S Bond Ave # 16d, Portland, OR 97239-4501 | 2017-01-27 |
| 1043765134 | Noelle Teske | Dermatology | 3303 S Bond Ave Fl 16, Portland, OR 97239-4501 | 2016-08-18 |
| 1134579535 | Caroline Morris | Dermatology | 3303 S Bond Ave # Chh16d, Portland, OR 97239-4501 | 2016-06-16 |
| 1194110288 | Betty Si Yuan Jiang | Dermatology | 17704 Jean Way Ste 102, Lake Oswego, OR 97035-5585 | 2015-04-06 |
| 1033539184 | Natasha Fewkes Carter | Dermatology | 4914 Sw 1st Ave, Portland, OR 97239-2883 | 2014-04-16 |
| 1538588504 | Elizabeth Berry | Dermatology | Ohsu Department of Dermatology, 3303 Sw Bond Ave Ch 16d, Portland, OR 97239-4501 | 2014-04-07 |
| 1851712038 | Charles Raymond Hahn | Dermatology | 187 Sw Eastman Pkwy, Ste. #72, Gresham, OR 97080-7002 | 2013-12-14 |
| 1225370927 | Alan Barry Lachman | Dermatology | 2630 Nw 144th Ave, Suite #100, Beaverton, OR 97006-5470 | 2013-03-20 |
| 1417207283 | Karla S Pivik | Dermatology | 2195 Nw Shevlin Park Rd, Suite 100, Bend, OR 97703-7102 | 2012-09-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.