Individual
YARA ALKHUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 NE 11TH AVE, PORTLAND, OR 97232-3001
(503) 542-7635
Mailing address
32 NE 11TH AVE, PORTLAND, OR 97232-3001
(503) 542-7635
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
09/23/2024
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