Individual
ALISIA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
595 NW 11TH ST, HERMISTON, OR 97838-6600
(541) 567-2536
(541) 289-6173
Mailing address
702 SUNSET DR, ONTARIO, OR 97914-3121
(541) 889-9167
(541) 889-7873
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
02/23/2016
Last updated
08/12/2020
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