Individual
JULIET F BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4411 SW VERMONT ST, PORTLAND, OR 97219-1020
(503) 494-9992
Mailing address
2733 NE 35TH AVE, PORTLAND, OR 97212-2711
(503) 432-6701
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
672125
OR
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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