Individual
LISA N ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
328 S CENTRAL AVE STE 110, MEDFORD, OR 97501-7274
(541) 708-1742
Mailing address
PO BOX 503010, WHITE CITY, OR 97503-0813
(541) 708-1742
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2492
OR
Other
Enumeration date
02/07/2011
Last updated
09/12/2019
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