Individual
MS. MARISSA ELIZABETH LACHAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
589 NW 11TH ST, HERMISTON, OR 97838-6600
(541) 567-1717
(541) 564-5170
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-2395
(509) 865-0757
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8438012-1206
UT
Other
Enumeration date
07/16/2019
Last updated
09/18/2022
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