Individual
AZLEN PONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3615 NE GRAND AVE, PORTLAND, OR 97212-2104
(503) 281-1166
Mailing address
3615 NE GRAND AVE, PORTLAND, OR 97212-2104
(503) 281-1166
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
05/07/2026
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