Individual
MARIE ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
244 W MAIN ST, HILLSBORO, OR 97123-3961
(503) 846-8766
(503) 846-3556
Mailing address
244 W MAIN ST, HILLSBORO, OR 97123-3961
(503) 846-8766
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
1134515711
OR
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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