MADISON BAKER

PORTLAND, OR
NPI1699395061
Other NameTYLER BAKER
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-25
Last Update Date2020-04-25
Business Address
MADISON BAKER
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266-6302
Phone number: 503-258-4110
Mailing Address
MADISON BAKER
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4200
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