Individual
IVANA LUCIA CAMARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
363 SE 6TH AVE, HILLSBORO, OR 97123-4110
(971) 713-3930
Mailing address
10675 SW MURDOCK ST # I-8, TIGARD, OR 97224-3641
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
115966
OR
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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