Individual
MANEFA GOSTEVSKYH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
675 N 3RD ST, WOODBURN, OR 97071-4017
(503) 989-5993
Mailing address
675 N 3RD ST, WOODBURN, OR 97071-4017
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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