Individual
AIDE PALACIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
8110 N OLYMPIA ST, PORTLAND, OR 97203-1212
(971) 221-0917
Mailing address
8110 N OLYMPIA ST, PORTLAND, OR 97203-1212
(971) 221-0917
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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