Individual
DANIEL CHRIS BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9000 SE MCBROD AVE, MILWAUKIE, OR 97222-7336
(503) 655-8262
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C4146
OR
372600000X
Adult Companion
—
—
Other
Enumeration date
08/06/2012
Last updated
12/02/2019
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