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Individual

CALVIN BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6605 SE LAKE RD, MILWAUKIE, OR 97222-2161
(503) 655-8401
Mailing address
6605 SE LAKE RD, MILWAUKIE, OR 97222-2161
(503) 655-8401

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
372600000X
Adult Companion

Other

Enumeration date
03/23/2015
Last updated
03/14/2024
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