Provider Demographics
NPI:1538577325
Name:TALCOTT-BAUGHMAN, SERENA (MS)
Entity type:Individual
Prefix:MS
First Name:SERENA
Middle Name:
Last Name:TALCOTT-BAUGHMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 SW 15TH AVE.
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205
Mailing Address - Country:US
Mailing Address - Phone:503-274-4994
Mailing Address - Fax:503-243-5849
Practice Address - Street 1:808 SW 15TH AVE.
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205
Practice Address - Country:US
Practice Address - Phone:503-274-4494
Practice Address - Fax:503-243-5849
Is Sole Proprietor?:No
Enumeration Date:2014-07-24
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS