Individual
JAIME ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
503 WOODS RD, SUNNYSIDE, WA 98944-1053
(509) 837-3686
Mailing address
503 WOODS RD, SUNNYSIDE, WA 98944-1053
(509) 837-3686
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60119158
WA
Other
Enumeration date
05/13/2007
Last updated
06/25/2014
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