Individual
MARTHA ELENA VENANCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA MHA
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-3591
(503) 216-3583
Mailing address
17453 SE PINE ST, PORTLAND, OR 97233-4526
(971) 323-5498
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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