Individual
ORION JAY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS, THW
Contact information
Practice address
30 NE MARTIN LUTHER KING BLVD, PORTLAND, OR 97232-2941
(503) 232-1099
Mailing address
634 NW FLANDERS ST APT 242, PORTLAND, OR 97209-3656
(650) 219-3685
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
105615
OR
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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