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Organization
TRANSIRE, LLC
Active
Organization
TRANSIRE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA L LADENDORFF LCSW (SOLE PROPRIETER)
(541) 805-5502
Entity
Organization
Contact information
Practice address
105 FIR ST, SUITE 332, LA GRANDE, OR 97850-2661
(541) 805-5502
(541) 963-4943
Mailing address
2708 N ASH ST, LA GRANDE, OR 97850-2733
(541) 805-5502
(541) 963-4943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2326
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1B845630000
REGENCE BLUE CROSS BLUE SHIELD OF OREGON
OR
Enumeration date
01/30/2009
Last updated
01/30/2009
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