Individual
OLIVIA CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
19 MYRTLE ST, MEDFORD, OR 97504-7337
(541) 842-7747
Mailing address
900 E MAIN ST, MEDFORD, OR 97504-7136
(541) 200-6859
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227698
—
OR
Enumeration date
11/14/2018
Last updated
11/14/2018
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