Individual
ANGELA VASQUEZ VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-6106
(503) 622-9106
Mailing address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-6106
(503) 622-9106
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
02/13/2025
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