Individual
JULIET SILLICY MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
2020 SE 182ND AVE, PORTLAND, OR 97233-5692
(503) 988-5558
(503) 988-5660
Mailing address
2020 SE 182ND AVE, PORTLAND, OR 97233-5692
(503) 988-5558
(503) 988-5660
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000104637
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
THW000104637
OREGON HEALTH AUTHORITY
OR
Enumeration date
06/01/2021
Last updated
06/23/2021
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