Individual
NICOLE DEGLI ESPOSTI BARAJAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(503) 645-3581
Mailing address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(503) 645-3581
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1184471237
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2024
Last updated
12/06/2024
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