Individual
ASIA J PETRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1827 NE 44TH AVE, SUITE 390, PORTLAND, OR 97213
(503) 963-6494
Mailing address
5890 MCLEOD LN, KEIZER, OR 97303
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OR
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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