NPI Profile for Dr ALICIA R MARROQUIN in NORTH BEND, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
163WP0808X | |||
Pastoral |
101YP1600X |
| NPI # | 1124223656 |
|
| Status | Active | |
| Credentials | R.N., MA, CNS, PHD | |
| Entity | Individual | |
| Enumeration date | 06/15/2007 | |
| Last updated | 01/07/2014 - About 12 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ALICIA R MARROQUIN
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