Individual
BENJAMIN WALTER BAKER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 MAIN ST, KLAMATH FALLS, OR 97601-5810
(541) 238-2289
(541) 835-3322
Mailing address
10420 QUAIL LN, KLAMATH FALLS, OR 97603-8948
(530) 249-1718
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/12/2012
Last updated
03/04/2025
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