Individual
DIANA JANIE IGNATOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4282 N MARYLAND AVE, 506, PORTLAND, OR 97217
(650) 690-0787
Mailing address
4282 N MARYLAND AVE, 506, PORTLAND, OR 97217
(650) 690-0787
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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