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Individual

MICAH LEE BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1777 COBURG RD, EUGENE, OR 97401-5477
(541) 505-8041
Mailing address
81150 BEACH RD, CRESWELL, OR 97426-9359
(458) 221-8238

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10309
OR

Other

Enumeration date
03/21/2026
Last updated
03/21/2026
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