Individual
LORENA CORTES CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3411-A WILLAMETTE STREET,, EUGENE, OR 97405
(541) 686-5060
Mailing address
3411-A WILLAMETTE STREET,, EUGENE, OR 97405
(541) 686-5060
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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