Individual
NANCI NATIVIDAD BOBADILLA-RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223-6876
(971) 236-0915
Mailing address
1500 SW PLEASANT VIEW DR APT M354, GRESHAM, OR 97080-7892
(541) 400-9725
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
07/24/2019
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