Individual
LATOYA M WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8900 NE VANCOUVER WAY, PORTLAND, OR 97211-1350
(971) 415-7830
Mailing address
11200 SE HOLGATE BLVD APT 20, PORTLAND, OR 97266-3377
(971) 415-7830
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000106794
OR
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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