MEDICARE: RAICHA C ROMERO ZUNIGA

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
1	106S00000X	Behavior Technician		OR

General Provider Information

NPI Number	:	1396690855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAICHA C ROMERO ZUNIGA

Provider Business Mailing Address
First Line	:	190 SE LAKAMAS LN UNIT 3537
Second Line	:
City	:	MCMINNVILLE
State	:	OR
Zip	:	97128-6899
Country	:	US
Telephone Number	:	408-502-1672
Fax Number	:

Provider Business Practice Location Address
First Line	:	190 SE LAKAMAS LN UNIT 3537
Second Line	:
City	:	MCMINNVILLE
State	:	OR
Zip	:	97128-6899
Country	:	US
Telephone Number	:	408-502-1672
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “ RAICHA C ROMERO ZUNIGA ” Practice Location

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