Individual
MARIA DR PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
29450 SE LARIAT LN, BORING, OR 97009-7429
(510) 676-1275
Mailing address
29450 SE LARIAT LN, BORING, OR 97009-7429
(510) 676-1275
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
495084
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1763248-96
OCCUPATIONAL HEALTH CLINIC
OR
Enumeration date
02/26/2021
Last updated
02/26/2021
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