Individual
AMANDA THERESE KLAAS BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
801 NE HEARTHWOOD BLVD, VANCOUVER, WA 98684-7407
(360) 604-6875
Mailing address
4634 NE 78TH PL, PORTLAND, OR 97218-4156
(360) 972-8060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11782
MN
225100000X
Physical Therapist
62894
OR
225100000X
Physical Therapist
Primary
PT60905066
WA
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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