Individual
MR. JOHN PATRICK HERIZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
1948 VALLEY AVE, BAKER CITY, OR 97814-3451
(541) 523-9539
(541) 523-9539
Mailing address
13997 CALLEY FISHER LN, HAINES, OR 97833-6368
(541) 523-9539
(541) 523-9539
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3504
OR
Other
Enumeration date
01/31/2007
Last updated
07/09/2007
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