NPI 1043647076 · live from the CMS NPI Registry
Garrett Baldwin, M.A.
Counselor, Mental Health in Portland, OR. National Provider Identifier 1043647076, active.
NPI record
| NPI | 1043647076 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 14600 Nw Cornell Rd, Portland, OR 97229 |
| Practice phone | 503-998-7929 |
| Enumerated | October 4, 2013 |
| Last updated | October 18, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | R3010 (OR) |
| Counselor, Mental Health primary | 101YM0800X | R3010 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.