Individual
ULISSES FRAILE-MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
(541) 766-6186
Mailing address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6825
(541) 766-6186
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000003917
OR
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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