Individual
ASHLEY DIBRITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 MAIN ST STE 205, KLAMATH FALLS, OR 97601-6066
(541) 238-2289
Mailing address
5016 SWALLOW CT, KLAMATH FALLS, OR 97601-9141
(541) 891-5603
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
110095
OR
175T00000X
Peer Specialist
Primary
110095
OR
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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