Individual
ISABEL GABRIELA VERDUZCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA-R
Contact information
Practice address
2570 NW EDENBOWER BLVD, ROSEBURG, OR 97471-6214
(541) 677-7200
Mailing address
1575 NW BEACON ST, ROSEBURG, OR 97470-2084
(541) 530-8729
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
24-QMHA-R-5488
OR
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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