Individual
ABBY FLANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 SW 12TH AVE, PORTLAND, OR 97205-2329
(503) 228-7134
Mailing address
412 SW 12TH AVE, PORTLAND, OR 97205-2329
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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