Individual
MRS. CONNIE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
8305 SE MONTEREY AVE, SUITE 220, PORTLAND, OR 97086-7725
(503) 701-0829
Mailing address
8305 SE MONTEREY AVE, SUITE 220, PORTLAND, OR 97086-7725
(503) 701-0829
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2489
OR
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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