Individual
LUCY T BRISENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW, PSS
Contact information
Practice address
730 WHITE OAK CIR APT 238, INDEPENDENCE, OR 97351-8637
(503) 428-0928
Mailing address
730 WHITE OAK CIR APT 238, INDEPENDENCE, OR 97351-8637
(503) 428-0928
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
110783
OR
Other
Enumeration date
03/01/2025
Last updated
03/01/2025
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