Individual
CARISSA NICOLE ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 22ND ST NE, AUBURN, WA 98002-3442
(253) 325-1385
Mailing address
1345 22ND ST NE, AUBURN, WA 98002-3442
(253) 325-1385
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
FACILITATOR
—
Enumeration date
10/29/2019
Last updated
10/29/2019
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