Organization
KRISTY BAKER PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY BAKER (OWNER)
(503) 625-2768
Entity
Organization
Contact information
Practice address
22344 SW MAIN ST, SHERWOOD, OR 97140-9416
(503) 625-2768
Mailing address
22344 SW MAIN ST, SHERWOOD, OR 97140-9416
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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