Individual
MIRANDA KAY CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 SE 3RD ST, TOLEDO, OR 97391-1613
(541) 336-2254
Mailing address
9597 NE CARMEL WAY, NEWPORT, OR 97365-9547
(541) 272-4732
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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