Individual
JULIANA MATRAGRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1717 SW PARK AVE APT 1422, PORTLAND, OR 97201-3246
(503) 290-6972
Mailing address
1717 SW PARK AVE APT 1422, PORTLAND, OR 97201-3246
(503) 290-6972
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000109468
OR
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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