Provider Demographics
NPI:1780210583
Name:RAMIREZ ESPINOZA, CECILIA
Entity Type:Individual
Prefix:
First Name:CECILIA
Middle Name:
Last Name:RAMIREZ ESPINOZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 N TRADE ST APT A
Mailing Address - Street 2:
Mailing Address - City:AMITY
Mailing Address - State:OR
Mailing Address - Zip Code:97101-2827
Mailing Address - Country:US
Mailing Address - Phone:971-259-9282
Mailing Address - Fax:
Practice Address - Street 1:107 N TRADE ST APT A
Practice Address - Street 2:
Practice Address - City:AMITY
Practice Address - State:OR
Practice Address - Zip Code:97101-2827
Practice Address - Country:US
Practice Address - Phone:971-259-9282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-12
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst