Individual
MADELEINE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 SW 4TH AVE STE 520, PORTLAND, OR 97204-1825
(503) 988-5464
(503) 988-4386
Mailing address
209 SW 4TH AVE STE 520, PORTLAND, OR 97204-1825
(503) 988-5464
(503) 988-4386
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
104507
OR
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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