Individual
MIREYA ELISSA NUNEZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
12665 SW CENTER STREET, SUITE 100, BEAVERTON, OR 97005
(503) 828-3402
Mailing address
207 3RD AVE, OREGON CITY, OR 97045-3115
(541) 285-4393
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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