Individual
MARY AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
12045 SE STANLEY AVE, MILWAUKIE, OR 97222-2938
(503) 659-2323
Mailing address
8549 SE 29TH AVE, MILWAUKIE, OR 97222-6316
(503) 200-9970
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
07938
OR
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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