Active NPI
Alec Baker, PA-C
- Physician Assistant
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00402
- Practice address
- 9427 SW Barnes Rd
Suite 596
Portland, OR 97225-6640 - Phone
- (503) 216-8670
- Fax
- (503) 216-8699
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00402 | OR | Primary |
| Surgical Physician Assistant | 363AS0400X | PA00402 | OR |
Addresses
Primary practice location
9427 SW Barnes Rd
Suite 596
Portland, OR 97225-6640
Mailing address
PO Box 3158
Portland, OR 97208-3158
Other practice location 1
501 N Graham St Ste 220
Portland, OR 97227-2014
Phone (503) 413-6200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500604193 | Medicaid | OR | |
| P01193161 | Other | OR | RR MEDICARE - PROVIDENCE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abaker110233@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1321 NE 99TH Ave
Suite 200
Portland, OR 97220-9439
Phone (503) 215-4250
9205 SW Barnes Rd
Portland, OR 97225-6603
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Clinics LLC | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Past | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Past | Accepting new patients | |
| Starr-Wood Cardiac Group of Portland PC | Past | Accepting new patients |
Locations
9427 SW Barnes Rd
Ste 593
Portland, OR 97225
Phone (503) 216-8670
2222 NW Lovejoy St
Ste 411
Portland, OR 97210
Phone (503) 413-5702
5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
9155 SW Barnes Rd
Ste 240
Portland, OR 97225
Phone (503) 296-4027
9427 SW Barnes Rd
Ste 596
Portland, OR 97225
Phone (503) 216-8670
9135 SW Barnes Rd
Ste 963
Portland, OR 97225
Phone (503) 297-1419
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
9427 SW Barnes Rd
Ste 390
Portland, OR 97225
Phone (503) 216-1280
501 N Graham St
Ste 220
Portland, OR 97227
Phone (503) 413-4710
Interoperability endpoints
- abaker110233@oc.providencedirect.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
-
- Child & Adolescent Psychiatry Physician
- Portland, OR
- NPI 1295105518
-
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
-
- Durable Medical Equipment & Medical Supplies
- Corvallis, OR
- NPI 1477851186
-
- Internal Medicine Physician
- Sherwood, OR
- NPI 1184729329
-
- Specialist
- Portland, OR
- NPI 1386730026
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- General Acute Care Hospital
- Newberg, OR
- NPI 1952482275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1932158953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9427 SW BARNES RD",
"address_2": "SUITE 596",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256640",
"telephone_number": "503-216-8670",
"fax_number": "503-216-8699"
}
],
"practiceLocations": [
{
"address_1": "501 N Graham St Ste 220",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972272014",
"country_code": "US",
"telephone_number": "503-413-6200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKER",
"first_name": "ALEC",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA00402",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OR",
"license": "PA00402",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500604193",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE - PROVIDENCE",
"identifier": "P01193161",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abaker110233@oc.providencedirect.org",
"affiliation": "N",
"address_1": "9427 SW Barnes Rd Ste 593",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972256640",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.