Individual
ANNETTE IRIS RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10420 NE WASCO ST, PORTLAND, OR 97220-3928
(971) 688-2784
Mailing address
10420 NE WASCO ST, PORTLAND, OR 97220-3928
(971) 688-2784
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/07/2017
Last updated
03/21/2025
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