Individual
LISA ARIEL MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1470 NW 4TH ST, REDMOND, OR 97756-1366
(541) 316-7520
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
(559) 709-2806
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
OR
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/11/2018
Last updated
10/04/2024
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