Doctor Name: | JULIE ANN ESPINOSA |
NPI Number: | 1275899023 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CADCI |
License Number: | 10-09-13 |
Business Practice Address: | 976 N Pacific Hwy Woodburn, OR - 970713731 |
Business Phone Number: | 5039812473 |
Business Fax Number: | |
Mailing Address: | 976 N Pacific Hwy, WOODBURN |
State: | OR |
Postal Code: | 970713731 |
Phone Number: | 5039812473 |
Fax Number: | |
NPI Enumeration Date: | 04/05/2012 |
NPI Last Update Date: | 04/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 10-09-13 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |