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1699395061
MADISON BAKER
PORTLAND, OR
NPI
1699395061
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Other Name
TYLER BAKER
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-25
Last Update Date
2020-04-25
Business Address
MADISON BAKER
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266-6302
Phone number: 503-258-4110
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Mailing Address
MADISON BAKER
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4200
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