Individual
PEGGY AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN, CDCES
Contact information
Practice address
1438 SE DIVISION ST, PORTLAND, OR 97202-1140
(503) 548-0346
(503) 232-5959
Mailing address
211 SE CARUTHERS ST, PORTLAND, OR 97214-4502
(971) 217-9008
(971) 269-0355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201404679RN
OR
Other
Enumeration date
05/05/2013
Last updated
02/06/2025
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