Individual provider · Type 1 NPI

Lily Baraka

School Registered Nurse · Portland, OR

NPI number 1336056100 Active

Practice location

11611 NE Ainsworth Cir
Portland, OR 97220-9017

Call (971) 266-7582 Map

Mailing address

11740 SE Main St
Portland, OR 97216-3958

Specialties and licenses

Taxonomy	Code	License
School Registered Nurse Primary	163WS0200X	201340637RN (OR)

School Registered Nurse: Definition to come...

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About NPI 1336056100

Lily Baraka's National Provider Identifier is 1336056100, issued on Aug 26, 2026. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Portland, OR. The record was last updated on Aug 26, 2026.