Healthcare Provider Details

I. General information

NPI: 1639032923
Provider Name (Legal Business Name): CIARA BAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CIARA MYERS

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 SE IRELAND ST
OAK HARBOR WA
98277-5502
US

IV. Provider business mailing address

2104 SWAN DR APT D
OAK HARBOR WA
98277-4104
US

V. Phone/Fax

Practice location:
  • Phone: 360-679-7676
  • Fax:
Mailing address:
  • Phone: 757-407-1546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: