Individual
ADRIANA RICARDO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
4105 NE 18TH AVE, PORTLAND, OR 97211-5139
(771) 219-4327
Mailing address
4105 NE 18TH AVE, PORTLAND, OR 97211-5139
(771) 219-4327
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
112806
OR
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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