Individual
MONICA ADRIANA ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
315 SE HARNEY ST, SHERIDAN, OR 97378-1922
(971) 237-2561
Mailing address
315 SE HARNEY ST, SHERIDAN, OR 97378-1922
(971) 237-2561
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19525
OR
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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