Individual
JEZETH VANEZA SOTTO ZARAGOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11035 NE SANDY BLVD, PORTLAND, OR 97220
(503) 258-4200
Mailing address
11035 NE SANDY BLVD, PORTLAND, OR 97220-2553
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2018
Last updated
05/01/2019
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