Individual
DEBRA IRIZARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATR-BC, LCAT
Contact information
Practice address
3750 CHEMAWA RD NE, SALEM, OR 97305-1119
(503) 304-7600
Mailing address
1956 LINWOOD ST NW APT 2048, SALEM, OR 97304-2586
(631) 612-0723
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
ART-C-10234736
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33855391
—
NM
Enumeration date
10/24/2016
Last updated
04/23/2024
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