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NPI Code Detail

MEDICARE: MRS. OGILVIA PINEDA CADC I

MEDICARE: MRS. OGILVIA PINEDA CADC I
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor06P07OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952450249
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. OGILVIA PINEDA CADC I
Provider Business Mailing Address
First Line : 365 NE COURT ST
Second Line :
City : PRINEVILLE
State : OR
Zip : 97754-1936
Country : US
Telephone Number : 541-323-5346
Fax Number : 541-447-6694
Provider Business Practice Location Address
First Line : 365 NE COURT ST
Second Line :
City : PRINEVILLE
State : OR
Zip : 97754-1936
Country : US
Telephone Number : 541-323-5346
Fax Number : 541-447-6694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2007
Last Update Date : 02/25/2013

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Directions to “ MRS. OGILVIA PINEDA CADC I” Practice Location

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