LISA LOIUSE BERRY

LA GRANDE, OR
NPI1154040368
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: OR  106730)
Enumeration Date2022-08-23
Last Update Date2022-12-27
Business Address
LISA LOIUSE BERRY CHW
2206 N PINE ST
LA GRANDE, OR 97850-3712
Phone number: 541-323-4676
Mailing Address
LISA LOIUSE BERRY CHW
442 SW UMATILLA AVE STE 200
REDMOND, OR 97756-7039
Phone number: