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Individual

MR. HOWARD VERGARA MATEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1925 NE STUCKI AVE UNIT 300, HILLSBORO, OR 97006-6945
(503) 906-5000
Mailing address
12567 SW 134TH AVE, PORTLAND, OR 97223-4719
(808) 205-1483

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
150.109176
IL

Other

Enumeration date
08/24/2023
Last updated
08/24/2023
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