MR. SAMUEL CHI BAKER LPC NPI 1023240090

NPI Information

NPI: 1023240090
Provider Name: MR. SAMUEL CHI BAKER, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3116 SE 75TH AVE
PORTLAND, OR
ZIP 97206
Phone: (971) 344-3040
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MR. Samuel Chi Baker, LPC is a mental health counselor in Portland, OR. MR. Samuel Chi Baker, LPC NPI is 1023240090. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3116 SE 75TH AVE
PORTLAND, OR
ZIP 97206-822
Phone: (971) 344-3040

The enumeration date for this NPI number is 8/10/2009 and was last updated on 6/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		C1833	OREGON	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	C1833	OREGON	No
3	101YP2500X	Counselor	Professional	C1833	OREGON	No
4	101YM0800X	Counselor	Mental Health	C1833	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500787660	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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