Provider Information for 1811152275
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Ms. LISA-PAULA PAIXAO DA SILVA MSW
Sex: Female
NPI: 1811152275
Last Updated: 2021-09-01
Certification Date: 2021-09-01
Certification Date: 2021-09-01
Details
Name | Value | ||||||||||||
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NPI | 1811152275 | ||||||||||||
Enumeration Date | 2008-07-25 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 38325 MOUNT HOPE DR LEBANON, OR 97355-9483 United States Phone: 561-401-3847 | Fax: | ||||||||||||
Primary Practice Address | 38325 MOUNT HOPE DR LEBANON, OR 97355-9483 United States Phone: 561-401-3847 | Fax: | ||||||||||||
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