Individual
LAURA L BAKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2455 WILLAKENZIE RD, EUGENE, OR 97401-4871
(541) 687-3174
(541) 687-3684
Mailing address
95 MERRY LN, EUGENE, OR 97404-2678
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-806534
OR
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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