Individual
LYDIA BERKSHIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2802 ADAMS AVE, LA GRANDE, OR 97850-5267
(541) 963-3186
Mailing address
2802 ADAMS AVE, LA GRANDE, OR 97850-5267
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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