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NPI Code Detail

MEDICARE: MRS. KARI A. BAKER MA, NCC

MEDICARE: MRS. KARI A. BAKER MA, NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorOR

General Provider Information

NPI Number : 1710435748
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KARI A. BAKER MA, NCC
Provider Business Mailing Address
First Line : 4100 SW POMONA ST
Second Line :
City : PORTLAND
State : OR
Zip : 97219-7442
Country : US
Telephone Number : 503-244-6051
Fax Number :
Provider Business Practice Location Address
First Line : 18765 SW BOONES FERRY RD
Second Line : SUITE 100
City : TUALATIN
State : OR
Zip : 97062-8496
Country : US
Telephone Number : 503-612-1000
Fax Number : 503-612-1090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2016
Last Update Date : 09/19/2016

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