Individual
VALERIE HUMENIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9911 SE MOUNT SCOTT BLVD, PORTLAND, OR 97266-6302
(503) 233-4356
Mailing address
5323 SE 89TH AVE, PORTLAND, OR 97266-3821
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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