Individual
AMY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
10373 NE HANCOCK ST, SUITE 200, PORTLAND, OR 97220-3873
(503) 261-6165
Mailing address
10373 NE HANCOCK ST, SUITE 200, PORTLAND, OR 97220-3873
(503) 261-6165
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/20/2006
Last updated
04/01/2008
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