Individual
CHICO WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6915 NE 23RD AVE, PORTLAND, OR 97211
(503) 504-5581
Mailing address
6915 NE 23RD AVE, PORTLAND, OR 97211
(503) 504-5581
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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