Individual
PEDRO Y MORALES-MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1675 SW MARLOW AVE STE 200, PORTLAND, OR 97225-5102
(000) 000-0000
Mailing address
2718 JUNIPER ST APT G1, FOREST GROVE, OR 97116-1530
(503) 523-9712
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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