Individual
ELVIRA MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6200 SE KING RD, PORTLAND, OR 97222-2891
(503) 453-7950
Mailing address
6200 SE KING RD, PORTLAND, OR 97222-2891
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
111136
OR
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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