Individual
MIRANDA GIULVEZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16365 NW TWIN OAKS DRIVE, SUITE 200, BEAVERTON, OR 97006
(503) 828-3402
(503) 828-3401
Mailing address
1250 NW KEARNEY ST APT 1207, PORTLAND, OR 97209-4082
(360) 390-8476
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OR
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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