Individual
PAULINE ATIENO AMIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 SW CREEKSIDE PL STE B, BEAVERTON, OR 97008-7391
(503) 224-2184
Mailing address
2244 NE REDELFS WAY, BEAVERTON, OR 97006-7657
(209) 914-4038
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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