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1487109302
GARY R BAKER
PORTLAND, OR
NPI
1487109302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-08-20
Last Update Date
2016-08-20
Business Address
-- GARY R BAKER
3624 SE 40TH AVE APT 26
PORTLAND, OR 97202-1777
Phone number: 707-782-6561
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Mailing Address
-- GARY R BAKER
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
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