Individual
ANASTASIA ELIZABETH-RIOS KOMFOLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223-6876
(626) 780-0009
Mailing address
20169 S MAY RD, OREGON CITY, OR 97045-9778
(626) 780-0009
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/20/2019
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