Individual
MEDINA IMAMOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
707 NE COUCH ST, PORTLAND, OR 97232-2922
(503) 233-6090
Mailing address
12923 SE FOSTER RD # G703, PORTLAND, OR 97236-4702
(720) 938-9841
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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