Individual
RACHEL ELENA IATAROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11035 NE SANDY BLVD, PORTLAND, OR 97220-2553
(503) 736-6646
Mailing address
8716 NE RUSSELL ST, PORTLAND, OR 97220-5354
(503) 750-6777
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
12/02/2022
Last updated
02/21/2023
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