Individual
JOVANI CORONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22300 SW BOONES FERRY RD RM 26A, TUALATIN, OR 97062-7373
(503) 941-3180
Mailing address
7320 SW HUNZIKER RD STE 300, TIGARD, OR 97223-2302
(503) 941-3077
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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