Individual
FERNANDO ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 W 8TH AVE STE 418C, SPOKANE, WA 99204-2318
(509) 474-6920
Mailing address
PO BOX 31110-4114, PASADENA, CA 91110-4114
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60091900
WA
Other
Enumeration date
08/05/2019
Last updated
10/01/2025
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