Individual
BLANCA VERONICA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
1698 SW CHERRY PARK RD, TROUTDALE, OR 97060-1481
(971) 888-2424
Mailing address
10317 E BURNSIDE ST FL 2, PORTLAND, OR 97216-2733
(971) 888-2424
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
104968
OR
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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