Individual
NAVARRE ANGEL HERNANDEZ-FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9115 SW OLESON RD, PORTLAND, OR 97223-6875
(510) 268-8120
Mailing address
5077 JONES RD SE, SALEM, OR 97306-1834
(425) 919-4036
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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