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1689559031
LACEY RAYE ORTIZ LOPEZ
REDMOND, OR
NPI
1689559031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR 24-CRM-3553)
Enumeration Date
2025-08-06
Last Update Date
2025-08-06
Business Address
LACEY RAYE ORTIZ LOPEZ
340 NW 5TH ST
REDMOND, OR 97756-1869
Phone number: 541-516-4099
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Mailing Address
LACEY RAYE ORTIZ LOPEZ
340 NW 5TH ST
REDMOND, OR 97756-1869
Phone number: 541-516-4099
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