Individual
ZINNIA IMANI KEYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5023 NE KILLINGSWORTH ST, PORTLAND, OR 97218-1915
(503) 284-1807
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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