Individual
MARIA DEL CARMEN COVARRUBIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 SW SALMON ST FL 11, PORTLAND, OR 97204-2908
(707) 561-0134
(707) 561-0922
Mailing address
5765 SW OLESON RD, PORTLAND, OR 97225-1169
(559) 313-5177
(707) 561-0922
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19396
CA
Other
Enumeration date
01/21/2016
Last updated
11/04/2020
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