Organization
NAOMI BAKER LMFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI BAKER LMFT (PROPRIETOR)
(562) 445-0280
Entity
Organization
Contact information
Practice address
4431 SE WOODSTOCK BLVD, PORTLAND, OR 97206
(503) 343-4948
Mailing address
PO BOX 86508, PORTLAND, OR 97286
(562) 445-0280
(971) 275-1469
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T1084
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500694152
—
OR
Enumeration date
11/04/2016
Last updated
11/04/2016
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