Individual
WANDA PAULA FAYE GARFIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1441 SE 122ND AVE STE A, PORTLAND, OR 97233-1271
(503) 754-2830
Mailing address
PO BOX 16092, PORTLAND, OR 97292-0092
(503) 754-2830
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
14774
OR
Other
Enumeration date
10/20/2009
Last updated
11/04/2009
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