Individual
MICHELLE LANE ROCA BALTZOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NBC-HWC
Contact information
Practice address
41118 TAYLOR LN, PENDLETON, OR 97801-9825
(541) 561-4163
Mailing address
41118 TAYLOR LN, PENDLETON, OR 97801-9825
(541) 561-4163
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3668707
OR
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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