Individual
DENA SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 NW 5TH ST STE 202, REDMOND, OR 97756-1869
(541) 504-2218
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
09/06/2023
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