Individual
IRIS NAVARRO DIAZ DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12672 SE STARK ST, PORTLAND, OR 97233-1058
(503) 546-9975
(503) 546-9976
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 294-1681
(503) 294-4321
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-24-4038
OR
175T00000X
Peer Specialist
24-CRM-2881
OR
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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