Individual
ANGELINA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223-6876
(503) 544-8092
Mailing address
11835 SW KOSKI DR, TIGARD, OR 97223-5317
(503) 544-8092
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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