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Individual

MS. ALTA ELIZABETH BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1880 WILLAMETTE FALLS DR STE 260, WEST LINN, OR 97068-4654
(503) 656-6920
(503) 657-3696
Mailing address
16087 SE EVELYN ST, CLACKAMAS, OR 97015-9519
(503) 655-3212

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L0741
OR

Other

Enumeration date
01/18/2007
Last updated
07/08/2007
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