Individual
ALEXIS BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
15422 BANGY RD APT 10, LAKE OSWEGO, OR 97035-3127
(360) 610-9500
Mailing address
3630 KENTHORPE WAY, WEST LINN, OR 97068-2101
(360) 610-9500
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
MT-T-10174270
OR
225A00000X
Music Therapist
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225A00000X
—
OR
Enumeration date
01/22/2014
Last updated
03/16/2022
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