Individual
RYAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, LAC
Contact information
Practice address
88 LAPREE ST, TALENT, OR 97540-6000
(541) 535-5082
(541) 535-3026
Mailing address
PO BOX 990, TALENT, OR 97540-0990
(541) 791-6712
(866) 548-1892
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC170159
OR
183500000X
Pharmacist
10244
OR
Other
Enumeration date
12/18/2013
Last updated
07/16/2015
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