Individual
KATHERINE WYATT BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9930 N SMITH ST, PORTLAND, OR 97203-1552
(503) 916-6277
Mailing address
4234 SE 28TH PL, PORTLAND, OR 97202-3518
(828) 260-5657
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
508179
OR
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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