Individual provider Active NPI

Alec Baker, PA-C

  • Physician Assistant
  • Portland, OR
National Provider Identifier
1932158953
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00402 Issued in OR
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

Updated by the provider on Dec 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500604193MedicaidOR
P01193161OtherORRR MEDICARE - PROVIDENCE

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070606000096 OR Practitioner - Physician Assistant 6103924733 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
Legacy Clinics LLC CurrentSince Dec 12, 2025 Accepting new patients
Providence Health & Services - Oregon CurrentSince Apr 24, 2012 Accepting new patients
Legacy Clinics LLC CurrentSince Dec 12, 2025 Accepting new patients
Providence Health & Services Oregon CurrentSince Apr 24, 2012 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.