Individual
KRISTEN JENSINE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2507 CHRISTIE DR, LAKE OSWEGO, OR 97034
(503) 635-3416
Mailing address
PO BOX 368, MARYLHURST, OR 97036-0368
(503) 867-5635
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/14/2021
Last updated
01/25/2022
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