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NPI 1154055176

IndividualActive

Andrew Baum, DPM

NPI 1154055176 · Podiatrist · La Grande, OR

Provider details

NPI number: 1154055176
Entity type: Individual
Primary specialty: PodiatristPodiatric Medicine & Surgery Service Providers
Credential: DPM
Sex: Male
Sole proprietor: No
License: EL7071 (CA)

Practice location

710 Sunset Dr Ste F

La Grande, OR 97850-1200

Phone: (541) 663-3100

Fax: (541) 975-5135

More OR providers

Mailing address

Po Box 3290

La Grande, OR 97850-7290

Registry dates

Enumerated: 2022-07-14
Last updated: 2025-11-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Andrew Baum, DPM — NPI 1154055176, La Grande, OR | NPI Central