Individual
MS. LINDA MARIE CENTURION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 N MAIN AVE STE 201, GRESHAM, OR 97030-7242
(971) 501-3590
(971) 396-9946
Mailing address
PO BOX 86785, PORTLAND, OR 97286-0785
(971) 501-3590
(971) 369-9946
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000WDBCH
MEDICARE
OR
05
—
164936
—
OR
Enumeration date
06/13/2008
Last updated
04/16/2021
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