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1629528005
CARRI LYNN BAKER
PORTLAND, OR
NPI
1629528005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-10-10
Last Update Date
2016-10-10
Business Address
-- CARRI LYNN BAKER
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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Mailing Address
-- CARRI LYNN BAKER
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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MACKIE ENTERPRISES LLC