Lori K C De Baca (NPI# 1780853978, PAC ID# 9133351067) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1780853978 |
| PAC ID by PECOS | 9133351067 |
| Professional Enrollment ID | I20140408001637 |
| Full Name | Lori K C De Baca |
| Organization Legal Name | OPTIONS FOR SOUTHERN OREGON |
| Address |
1644 Carnahan Dr Grants Pass OR 97527-4724 |
| Phone Number | 5414716363 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 0941202006 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1644 Carnahan Dr, Grants Pass, OR 97527-4724 | 5414716363 | OPTIONS FOR SOUTHERN OREGON |
| Organization Legal Name | OPTIONS FOR SOUTHERN OREGON |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jasmin Williams | Clinical Social Worker | Options for Southern Oregon | 1700 E Barnett Rd, Medford, OR 97504-0052 |
| Roxanna Jolly Dionne | Clinical Social Worker | Options for Southern Oregon | 1181 Sw Ramsey, Grants Pass, OR 97526-5835 |
| Krista L Fuqua | Nurse Practitioner | Options for Southern Oregon | 1215 Sw G St, Grants Pass, OR 97526-2544 |
| Gregory Aitchison | Internal Medicine | Options for Southern Oregon | 1644 Carnahan Dr, Grants Pass, OR 97527-4724 |
| Alan A Schrader | Clinical Social Worker | Options for Southern Oregon | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 |
| John H Rennick | Psychiatry | Options for Southern Oregon | 1215 Sw G St, Grants Pass, OR 97526-2544 |
| Dusti M Stark | Clinical Social Worker | Options for Southern Oregon | 1215 Sw G St, Grants Pass, OR 97526-2544 |
| Meagin Sheehan | Clinical Social Worker | Options for Southern Oregon | 1215 Sw G St, Grants Pass, OR 97526-2544 |
| Katie Jane Roeda | Clinical Social Worker | Options for Southern Oregon | 1215 Sw G St, Grants Pass, OR 97526-2544 |
| Luisa Guardione | Clinical Social Worker | Options for Southern Oregon | 1215 Sw G St, Grants Pass, OR 97526-2544 |
| Street Address |
1644 CARNAHAN DR |
| City | GRANTS PASS |
| State | OR |
| Zip | 97527-4724 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Aitchison | Internal Medicine | Options for Southern Oregon | 1644 Carnahan Dr, Grants Pass, OR 97527-4724 |
| Deborah L Fernon | Clinical Social Worker | Options for Southern Oregon | 1644 Carnahan Dr, Grants Pass, OR 97527-4724 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen A Johnson | Nurse Practitioner | 1692 Williams Hwy, Grants Pass, OR 97527-1805 | |
| Tamara C Medley | Obstetrics/gynecology | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Justin Alan Shelton | Obstetrics/gynecology | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Laura Lee Thrasher | Physician Assistant | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Felicia Cohen | Obstetrics/gynecology | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Thomas Scott Eagan | Obstetrics/gynecology | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Caroline Kelly | Obstetrics/gynecology | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Sara Brelsford | Nurse Practitioner | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Amber R Koonce | Physician Assistant | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Nancy J Mason | Nurse Practitioner | Women's Health Center of Southern Oregon PC | 1075 Grandview Ave, Suite 200, Grants Pass, OR 97527-5118 |
| Find all physicians in zip 97527 | |||
| City | GRANTS PASS |
| Zip Code | 97527 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | GRANTS PASS + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Lori K C De Baca.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.