Individual
LORENA MARQUEZ GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9111 NE SUNDERLAND AVE, PORTLAND, OR 97211-1708
(503) 280-6646
Mailing address
3813 SE 122ND AVE, PORTLAND, OR 97236-3701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-23-2283
OR
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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