Individual
ANTONIA BYARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
229 SE 181ST AVE, PORTLAND, OR 97233-4834
(503) 465-2749
Mailing address
PO BOX 16576, PORTLAND, OR 97292-0576
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000003928
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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