Individual
IVETTE M IPARRAGUIRRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1151
Mailing address
1735 SW 208TH AVE, BEAVERTON, OR 97006-1831
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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