Individual
TRIENA BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
465 COMMERCIAL ST NE STE 150, SALEM, OR 97301-3414
(503) 362-2780
(503) 362-2768
Mailing address
PO BOX 17818, SALEM, OR 97305-7818
(503) 363-2021
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12-06-78
OR
164W00000X
Licensed Practical Nurse
099005166LPN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099005166LPN
—
OR
01
—
12-06-78
ADDICTION COUNSELORS CERTIFICATION BOARD OF OREGON (ACCBO)
OR
Enumeration date
08/20/2014
Last updated
12/15/2023
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