Provider Demographics
NPI:1427737394
Name:LOUKOJARVI, LENA M
Entity type:Individual
Prefix:
First Name:LENA
Middle Name:M
Last Name:LOUKOJARVI
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 1:20814 NE SIERRA DR APT 8
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-7127
Mailing Address - Country:US
Mailing Address - Phone:503-851-1195
Mailing Address - Fax:
Practice Address - Street 1:1769 SW PARKWAY DR
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-2550
Practice Address - Country:US
Practice Address - Phone:800-273-4292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician