Individual
MINODORA VILCEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7855 SW ALAMEDA LN, BEAVERTON, OR 97007-5909
(503) 526-2967
Mailing address
7855 SW ALAMEDA LN, BEAVERTON, OR 97007-5909
(503) 526-2967
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
22472
OR
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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