Individual
ROBERTO ISRAEL PAREDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12672 SE STARK ST, PORTLAND, OR 97233-1058
(503) 546-9975
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 294-1681
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW105137
OR
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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