Individual
MARTHA ALICIA CORNELIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 E MAIN ST, HILLSBORO, OR 97123-4084
(503) 640-2757
Mailing address
3502 SE SAN MARINO AVE, HILLSBORO, OR 97123-5379
(503) 989-0007
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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