Desirae Padilla
Counselor in Corvallis, OR. Individual provider (NPI-1).
NPI number1508122003
StatusActive
Last updated in NPPESApr 9, 2012
Details
- NPI
- 1508122003
- Entity type
- Individual (NPI-1)
- Name
- Desirae Padilla
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2012
- Last updated
- Apr 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
4455 Ne Highway 20Corvallis, OR 97330-9695
Phone 547-758-5900
Mailing address
4455 Ne Highway 20Corvallis, OR 97330-9695
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