Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bryan Daniel Baca, CRM

Individual provider Peer Specialist · NPI 1972244861

Bryan Daniel Baca, CRM is a Peer Specialist in Siletz, Oregon. Licensed in Oregon. Registered with an NPI since 2022.

Licensed in
OR
In the registry since
2022

Practice location Address checks out

200 Gwee Shut Rd
Siletz, OR 97380-2036
Phone: (541) 444-9631
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (OR)

Record details

NPI number1972244861
Entity typeIndividual (Type 1)
GenderMale
Credentials CRM
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESApril 5, 2022
Certification dateApril 4, 2022
Mailing addressPo Box 320, Siletz, OR 97380-0320

Other providers in Siletz