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Bryan Daniel Baca, CRM
Peer Specialist in Siletz, Oregon
NPI 1972244861

Bryan Daniel Baca is a Peer Specialist based in Siletz, OR. Bryan Daniel Baca practices in Siletz, OR and has the professional credentials of CRM. The NPI Number for Bryan Daniel Baca is 1972244861 and holds a License No. (Oregon).

The current practice location address for Bryan Daniel Baca is 200 Gwee Shut Rd, Siletz, OR and can be reached out via phone at 541-444-9631.

Location: 200 Gwee Shut Rd, Siletz, OR, 97380-0320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972244861
Provider Name
Bryan Daniel Baca
Credential
CRM
Provider Entity Type
Individual
Gender
Male
Address
200 Gwee Shut Rd, Siletz, OR, 97380-0320
Phone Number
541-444-9631
Fax Number
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Gwee Shut Rd
City
Siletz
State
Oregon
Zip
97380-2036
Phone Number
541-444-9631
Fax Number
person
Provider Business Mailing Address Details
Address
200 Gwee Shut Rd
City
Siletz
State
Oregon
Zip
97380-2036
Phone Number
541-444-9631
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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