LISA CORDERO
NPI 1053779835
Counselor - Mental Health in Fairview, OR
Active since February 08, 2016
About Lisa Cordero NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA CORDERO (NPI 1053779835) is an individual mental health provider in Fairview, Oregon and active in the NPI registry since February 2016.
NPPES Registry Identity
NPI1053779835
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA CORDERO
Location Address1945 NE 205TH AVEFairview, OR 97024-9622
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (503) 875-3451
Phone(503) 661-8050
Fax(503) 492-4651
Sole ProprietorNo
Enumeration DateFebruary 8, 2016
✔ NPI 1053779835 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1945 NE 205TH AVE, Fairview, OR 97024
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatric Residential Treatment Facility
1945 NE 205TH AVE
FAIRVIEW, OR 97024
FAIRVIEW, OR 97024
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053779835, enumerated as an "individual" on February 08, 2016.
The provider is located at 1945 NE 205TH AVE FAIRVIEW, OR 97024 and the phone number is (503) 661-8050.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
