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Individual

JOANNA GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2600 SE BELMONT ST, PORTLAND, OR 97214-2916
(503) 239-5738
Mailing address
2600 SE BELMONT ST, PORTLAND, OR 97214-2916

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
099005151LPN
OR

Other

Enumeration date
02/27/2016
Last updated
02/27/2016
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