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Individual

ARI MUNNICH BLUFFSTONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7405 SE 84TH AVE, PORTLAND, OR 97266-5840
(503) 771-1645
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
3747P1801X
Personal Care Attendant

Other

Enumeration date
08/02/2022
Last updated
02/17/2023
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