Individual
ERIC OSCAR ORTEGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1010 LAS LOMAS RD NE, ALBUQUERQUE, NM 87102-2634
(505) 918-9768
Mailing address
PO BOX 6330, ALBUQUERQUE, NM 87197-6330
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-08638
NM
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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