Individual
SADIE R BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-R
Contact information
Practice address
10763 SW GREENBURG RD # 100, TIGARD, OR 97223-5492
(503) 684-8159
(503) 598-0934
Mailing address
10763 SW GREENBURG RD # 100, TIGARD, OR 97223-5492
(503) 684-8159
(503) 598-0934
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-23-2373
OR
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/02/2021
Last updated
04/14/2023
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