Bryan Daniel Baca, CRM

NPI #1972244861 in Siletz, Oregon

Provider Information

NPI Number: 1972244861
Entity Type: Individual
Name: Bryan Daniel Baca, CRM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: CRM
Enumeration Date: Apr 5, 2022
Last Updated: Apr 5, 2022

Practice Location

Address: 200 GWEE SHUT RD
City: Siletz
State: Oregon
ZIP Code: 97380-2036
Phone: (541) 444-9631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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