Individual
MONIQUE VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18765 SW BOONES FERRY RD, TUALATIN, OR 97062-8496
(503) 612-1000
Mailing address
4941 SE FREWING RD, HILLSBORO, OR 97123-8038
(503) 330-6979
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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