Organization
DANIELLE BAKER
Active
Other names
Portland Speech Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE BAKER M.A., CCC-SLP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(503) 568-1781
Entity
Organization
Contact information
Practice address
6516 NE SISKIYOU ST, PORTLAND, OR 97213-4572
(503) 568-1781
Mailing address
1717 SE 43RD AVE, PORTLAND, OR 97215-3115
(503) 568-1781
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500687686
—
OR
Enumeration date
03/10/2022
Last updated
03/10/2022
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