Individual
ZOE M COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
111 N MAIN ST, LEBANON, OR 97355-2869
(541) 409-9087
(541) 812-2056
Mailing address
111 N MAIN ST, LEBANON, OR 97355-2869
(541) 409-9087
(541) 812-2056
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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