Individual
JAIRO EMANUEL SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
180 ATWATER ST N, MONMOUTH, OR 97361-1801
(503) 421-7270
Mailing address
3049 PEPPERIDGE CT, FOREST GROVE, OR 97116-8649
(503) 421-7270
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
OR
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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