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Contact Information

RUSSELL L BAKER, C.O.T.A. OC 60984452
3121 SQUALICUM PKWY
BELLINGHAM, WA98225-1937
 Phone: 360-734-6760
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
 

Environmental Modification

224ZE0001X
Indicates primary specialty

NPI Profile & details for RUSSELL L BAKER · (Male)

NPI Number 1396390415
Status Active
Credentials C.O.T.A. OC 60984452
Entity Individual
Enumeration date 08/06/2019
Last updated 10/14/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 60984452
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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