Individual
SANDRA CHRISTINE CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9830 NE CASCADES PKWY, STE 200, PORTLAND, OR 97220-6832
(503) 255-4205
Mailing address
9830 NE CASCADES PKWY, STE 200, PORTLAND, OR 97220-6832
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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