Char M Baker, LMT

Individual provider Active NPI Massage Therapist · Creswell, OR

NPI 1366092652 · NPPES record last updated Nov 7, 2024

Key facts

NPI
1366092652
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
25183 (OR)
Practice address
281 W Oregon Ave RM 2
Creswell, OR 97426-9605
Phone
(541) 525-0613
NPI assigned
Sep 18, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
25183ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Injoy Wellness Massage Therapist Past
since Sep 1, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 25183 OR Yes

Addresses

Primary practice location

281 W Oregon Ave RM 2
Creswell, OR 97426-9605

Mailing address

PO Box 515
Pleasant Hill, OR 97455-0515
Phone (541) 525-0613

Other providers in Creswell, OR

All providers in Creswell, OR · Massage Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.