Provider Demographics
NPI:1417620808
Name:BAKARE, OLAOLUWA HANNAH (MSW)
Entity Type:Individual
Prefix:
First Name:OLAOLUWA
Middle Name:HANNAH
Last Name:BAKARE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1375 NE ELK CT APT 165
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-5320
Mailing Address - Country:US
Mailing Address - Phone:678-717-8423
Mailing Address - Fax:
Practice Address - Street 1:1900 NE DIVISION ST STE 201
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-3572
Practice Address - Country:US
Practice Address - Phone:541-516-6330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health