Individual
BLANCA CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10921 NE SACRAMENTO ST, PORTLAND, OR 97220-2932
(971) 347-7809
Mailing address
10921 NE SACRAMENTO ST, PORTLAND, OR 97220-2932
(971) 347-7809
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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