Individual
ISABELA GRACE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA, MSW
Contact information
Practice address
1201 SW 12TH AVE STE 224, PORTLAND, OR 97205-2083
(971) 251-9856
Mailing address
4835 SW OLESON RD APT D4, PORTLAND, OR 97225-1447
(405) 802-1610
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A15543
OR
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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