Individual
CIERRA CHREE LEEANN PERREARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 NE 7TH ST, GRANTS PASS, OR 97526-1319
(541) 471-4106
Mailing address
1701 NE 7TH ST, GRANTS PASS, OR 97526-1319
(541) 471-4106
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
000003464
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
THW000003464
TRADITIONAL HEALTH CARE WORKER
OR
Enumeration date
02/22/2021
Last updated
06/24/2021
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