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1154759447
LISA M RIVERA
MCMINNVILLE, OR
NPI
1154759447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 201393400)
Enumeration Date
2013-10-23
Last Update Date
2013-10-23
Business Address
-- LISA M RIVERA PMHNP-BC
627 NE EVANS ST
MCMINNVILLE, OR 97128-3923
Phone number: 503-434-7523
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Mailing Address
-- LISA M RIVERA PMHNP-BC
627 NE EVANS ST
MCMINNVILLE, OR 97128-3923
Phone number: 503-434-7523
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