Individual
MR. CHARLES BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA
Contact information
Practice address
2435 GREENWAY DR NE, SALEM, OR 97301-4535
(503) 362-4510
Mailing address
2435 GREENWAY DR NE, SALEM, OR 97301-4535
(503) 362-4510
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/24/2015
Last updated
02/25/2015
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