Individual
ANDREA MARIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223-6876
(412) 952-9198
Mailing address
715 GILLIS ST APT 3, VANCOUVER, WA 98661-4870
(412) 952-9198
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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