Individual
JENNIFER CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAREGIVER
Contact information
Practice address
14920 SE 122ND AVE SPC 10, CLACKAMAS, OR 97015-8277
(593) 891-4712
Mailing address
14920 SE 122ND AVE SPC 10, CLACKAMAS, OR 97015-8277
(503) 891-4712
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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