Individual
MOLLY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
131 NW HAWTHORNE AVE STE 103, BEND, OR 97703-2957
(937) 371-5451
Mailing address
2020 NE LINNEA DR APT 157, BEND, OR 97701-4988
(937) 371-5451
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16569
OR
Other
Enumeration date
07/16/2019
Last updated
06/08/2021
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