Individual
MS. HAILEY DEANNE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 758-5900
Mailing address
2675 ADAMS LN SE, JEFFERSON, OR 97352-9713
(541) 619-0544
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201230514LPN
OR
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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