Tyler Baca

NPI #1043864853 in Beaverton, Oregon

Provider Information

NPI Number: 1043864853
Entity Type: Individual
Name: Tyler Baca
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jul 30, 2019
Last Updated: Jul 30, 2019

Practice Location

Address: 3925 SW 153RD DR STE 210
City: Beaverton
State: Oregon
ZIP Code: 97003-4176
Phone: (971) 727-8155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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