Doctor Name: | MRS. MARIA EUGENIA SOTELO |
NPI Number: | 1295070670 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | QHMP |
License Number: | |
Business Practice Address: | 976 N Pacific Hwy Woodburn, OR - 970713731 |
Business Phone Number: | 5039812481 |
Business Fax Number: | |
Mailing Address: | 1858 Wiltsey Rd Se Apt 124, SALEM |
State: | OR |
Postal Code: | 973068929 |
Phone Number: | 2082842855 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2012 |
NPI Last Update Date: | 12/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |