Individual
YESENIA A RODRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM, THW
Contact information
Practice address
3886 BEVERLY AVE NE, SALEM, OR 97305-1373
(541) 521-6550
Mailing address
1195 CITY VIEW ST, EUGENE, OR 97402-3325
(503) 569-1219
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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