Individual
MRS. ANGELICA OLVERA SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2204 SW 217TH PL, BEAVERTON, OR 97003-1692
(503) 927-8002
Mailing address
2204 SW 217TH PL, BEAVERTON, OR 97003-1692
(503) 927-8002
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
8939201
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3747A0650X
CARE GIVER
OR
Enumeration date
09/12/2022
Last updated
09/12/2022
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