Individual
LILIANA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6200 SE KING RD, PORTLAND, OR 97222-2891
(503) 546-6377
(503) 545-9397
Mailing address
3530 SE 88TH AVE, PORTLAND, OR 97266-2396
(509) 225-3396
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
01/09/2024
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