Individual
QENA ORTIZ HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 S PINE ST STE 92, TACOMA, WA 98409-7259
(253) 507-5334
(253) 330-5182
Mailing address
4301 S PINE ST STE 92, TACOMA, WA 98409-7259
(253) 507-5334
(253) 330-5182
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61686709
WA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2177185
—
WA
Enumeration date
05/31/2022
Last updated
06/04/2025
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