Individual
MRS. CHRISTINE GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA I
Contact information
Practice address
2074 S 6TH ST, KLAMATH FALLS, OR 97601-3372
(541) 851-8110
Mailing address
1911 GARY ST, KLAMATH FALLS, OR 97603-4920
(541) 591-1865
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
23-QMHA-I-003714
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R101150
—
OR
Enumeration date
07/20/2023
Last updated
07/20/2023
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