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BRYAN DANIEL BACA CRM
NPI 1972244861
Peer Specialist in Siletz, OR

Active since April 05, 2022
200 GWEE SHUT RD, SILETZ, OR 97380(541) 444-9631 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bryan Daniel Baca Crm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYAN DANIEL BACA CRM (NPI 1972244861) is an individual peer specialist in Siletz, Oregon and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1972244861
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameBRYAN DANIEL BACACredential: CRM
Location Address200 GWEE SHUT RDSiletz, OR 97380-2036
Mailing AddressPo Box 320Siletz, OR 97380-0320 · (541) 444-9631
Phone(541) 444-9631
Sole ProprietorNo
Enumeration DateApril 5, 2022
NPPES CertifiedApril 4, 2022
✔ NPI 1972244861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
200 GWEE SHUT RD, Siletz, OR 97380
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA MARIE BREMNER
Community Health Worker
200 GWEE SHUT RD
SILETZ, OR 97380
Lincoln County (541) 444-1030
TODD LOGAN CADC R
Counselor (Addiction (Substance Use Disorder))
200 GWEE SHUT RD
SILETZ, OR 97380
Lincoln County (541) 444-1030
LISA M EMOND M.D.
Internal Medicine
200 GWEE SHUT RD
SILETZ, OR 97380
Lincoln County (541) 444-1030
ANGELINE DELORIS POIRIER THW
Community Health Worker
200 GWEE SHUT RD
SILETZ, OR 97380
Lincoln County (541) 444-1030
CHRISTOPHER RAY OLEMAN CRM
Peer Specialist
200 GWEE SHUT RD
SILETZ, OR 97380
Lincoln County (541) 444-1030
JEFF C GREEN
Community Health Worker
200 GWEE SHUT RD
SILETZ, OR 97380
Lincoln County (541) 444-9613
JESSIE GROW HODGES
Case Manager/Care Coordinator
200 GWEE SHUT RD
SILETZ, OR 97380
Lincoln County (541) 444-1030
BREEANNA CRABB
Peer Specialist
200 GWEE SHUT RD
SILETZ, OR 97380
Lincoln County (541) 444-9695

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Baca's NPI number?

The NPI number for Bryan Baca is 1972244861. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Bryan Baca located?

Bryan Baca practices at 200 Gwee Shut Rd, Siletz, OR 97380. The listed phone number is (541) 444-9631.

What is Bryan Baca's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Bryan Baca was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.