Individual
ISABELLE CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1827 NE 44TH AVE STE 390, PORTLAND, OR 97213-1461
(503) 963-6494
(310) 933-4134
Mailing address
17270 SW ALEXANDER ST, BEAVERTON, OR 97003-4509
(971) 713-4836
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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