Individual
LIZETH KARINA RODRIGUEZ DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3561 NE BROADWAY ST, PORTLAND, OR 97232-1820
(503) 437-1338
Mailing address
3561 NE BROADWAY ST, PORTLAND, OR 97232-1820
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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