Individual
JOYCE MAINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2206 NE KELLY AVE, GRESHAM, OR 97030-2844
(774) 253-2755
Mailing address
2206 NE KELLY AVE, GRESHAM, OR 97030-2844
(774) 253-2755
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
DZ846266
OR
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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