Lacey Raye Ortiz Lopez

NPI #1689559031 in Redmond, Oregon

Provider Information

NPI Number
1689559031
Entity Type
Individual
Name
Lacey Raye Ortiz Lopez
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Peer Specialist
Enumeration Date
Aug 6, 2025
Last Updated
Aug 6, 2025

Practice Location

Address
340 NW 5TH ST
State
Oregon
ZIP Code
97756-1869
Phone
(541) 516-4099

Specialties & Taxonomy Codes

Specialty
Peer Specialist

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