Search › Oregon › 103TC1900X

Ida Pacheco, PHD

NPI 1396842217 · on the registry since 2006 · sole proprietor

Practice

Address
103 Highway 82
Suite 5
Enterprise, OR 97828
Phone
(541) 398-0015
Fax
(541) 432-0860
Clinicians at this address
5

Registry record

Primary taxonomy
103TC1900X
103TC1900X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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 Oregon