Individual
DEENA CASTREJON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
254 N 1ST AVE, HILLSBORO, OR 97124-3003
(503) 997-8041
Mailing address
254 N 1ST AVE, HILLSBORO, OR 97124-3003
(503) 997-8041
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
L2155SR
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500680681
—
OR
Enumeration date
05/14/2015
Last updated
07/28/2015
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