Individual
LUIS ENRIQUE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1475 MOUNT HOOD AVE, WOODBURN, OR 97071
(503) 874-2451
(503) 982-4599
Mailing address
1475 MOUNT HOOD AVE, WOODBURN, OR 97071-9099
(503) 874-2451
(503) 982-4599
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000108251
OR
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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