Individual
JESSE H AZZOPARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
136 NE 7TH AVE APT C, HILLSBORO, OR 97124-3271
(503) 662-9222
Mailing address
PO BOX 752, HILLSBORO, OR 97123-0752
(503) 662-9222
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
1837992-96
OR
Other
Enumeration date
07/14/2023
Last updated
01/17/2024
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