SearchIdaho222Q00000X

Andrea Ortega

NPI 1396149928 · on the registry since 2014 · sole proprietor

Practice

Address
2901 W Kathryn St
Boise, ID 83705
Phone
(928) 502-9097

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Also registered as
2355S0801X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho