Individual
FATIMA PAOLA HERRERA-ZARATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
4400 NE HALSEY ST, PORTLAND, OR 97213-1545
(971) 352-5030
Mailing address
21221 SW PAMELA CT, BEAVERTON, OR 97003-6511
(503) 867-7687
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000104887
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
THW000104887
COMMUNITY HEALTH WORKER
OR
Enumeration date
12/04/2024
Last updated
12/04/2024
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