Individual
MRS. MARIA TERESA BANEZ SALCEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
10300 NE HANCOCK STREET, PORTLAND, OR 97220
(503) 257-5500
Mailing address
17009 SE KELLY ST, PORTLAND, OR 97236-1246
(503) 206-4595
(971) 373-8245
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201140726RN
OR
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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