MISS Lupita Pena-Baltazar, QMHA

NPI #1104050947 in Woodburn, Oregon

Provider Information

NPI Number: 1104050947
Entity Type: Individual
Name: MISS Lupita Pena-Baltazar, QMHA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: QMHA
Enumeration Date: May 7, 2009
Last Updated: Apr 17, 2025

Practice Location

Address: 1310 MERIDIAN DR
City: Woodburn
State: Oregon
ZIP Code: 97071-9668
Phone: (503) 953-0310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Case Manager/Care Coordinator	171M00000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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