Individual
LUCIA MENDOZA-MERAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2645 PORTLAND RD NE STE 120, SALEM, OR 97301-0200
(503) 390-5637
Mailing address
2645 PORTLAND RD NE STE 120, SALEM, OR 97301-0200
(503) 390-5637
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93-1114601
—
OR
Enumeration date
10/03/2019
Last updated
02/01/2023
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