Individual
DR. KRISTY R BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
516 SE MORRISON ST, SUITE 650, PORTLAND, OR 97214-2327
(503) 449-9595
Mailing address
22809 SW MAIN ST, SHERWOOD, OR 97140-6202
(503) 449-9595
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1747
OR
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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