| Doctor Name: | MEGAN BAKER |
| NPI Number: | 1013924430 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 991511 |
| Business Practice Address: | 2700 Nw Stewart Pkwy Annex A Roseburg, OR - 974711281 |
| Business Phone Number: | 5416725667 |
| Business Fax Number: | 5416725744 |
| Mailing Address: | 2700 Nw Stewart Pkwy, Annex A ROSEBURG |
| State: | OR |
| Postal Code: | 974711281 |
| Phone Number: | 5416725667 |
| Fax Number: | 5416725744 |
| NPI Enumeration Date: | 08/01/2006 |
| NPI Last Update Date: | 10/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 991511 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |