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Individual

DEVERI HURTADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 238-0769
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
247200000X
Other Technician
Primary
372600000X
Adult Companion

Other

Enumeration date
09/14/2015
Last updated
04/22/2017
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