Individual
JONAH AARON GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15290 SW ROYALTY PKWY, TIGARD, OR 97224-4059
(971) 256-4050
Mailing address
15745 SW COLYER WAY, TIGARD, OR 97224-0936
(503) 686-4823
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
A598463
OR
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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