Individual
EDITH TAMAY MENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 SE BELMONT ST, PORTLAND, OR 97214-2916
(503) 239-5738
Mailing address
17815 NE MULTNOMAH DR, PORTLAND, OR 97230-6377
(971) 712-9266
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201400367LPN
OR
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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