Individual
GREG JAMES BARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 408-4703
Mailing address
17685 SW MARTY LN, BEAVERTON, OR 97006-4269
(541) 915-0169
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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