Individual
YANA PONOMAROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 SE 99TH AVE, PORTLAND, OR 97216-2449
(971) 271-6512
Mailing address
14101 SE SUMMERFIELD LOOP, HAPPY VALLEY, OR 97086-5394
(971) 340-7817
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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