Individual
ROSA IRIZ PALACIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 NE IRVING ST, SUITE 250, PORTLAND, OR 97232-2243
(971) 227-4755
Mailing address
6811 NE 121ST AVE APT D36, VANCOUVER, WA 98682-5574
(971) 227-4755
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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