Individual
GRECIA ARIANA LORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
5529 NE 16TH AVE, PORTLAND, OR 97211-4942
(541) 490-2905
Mailing address
5529 NE 16TH AVE, PORTLAND, OR 97211-4942
(541) 490-2905
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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