Individual
MAVI JUNIA NYBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
211 NE 18TH AVE, PORTLAND, OR 97232-2822
(971) 248-8899
Mailing address
12019 SE KELLY ST, PORTLAND, OR 97266-1045
(503) 956-1236
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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