Individual
MS. SARAH ELLEN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
17727 E BURNSIDE ST, PORTLAND, OR 97233-4803
(503) 215-9915
Mailing address
17727 E BURNSIDE ST, PORTLAND, OR 97233-4803
(503) 215-9915
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
07980
OR
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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