Individual
MIYA CLABORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4495 SE HWY 20, CORVALLIS, OR 97330
(541) 758-5900
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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