Individual provider · Type 1 NPI
Gary R. Baker Jr.
Mental Health Counselor · Portland, OR
NPI number
1487109302
Active
Practice location
3624 SE 40th Ave Apt 26
Portland, OR 97202-1777
Mailing address
8915 SW Center St
Tigard, OR 97223-6307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1487109302
Gary R. Baker Jr.'s National Provider Identifier is 1487109302, issued on Aug 20, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Aug 20, 2016.