Individual
KRISTA LORENA CUELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1177 SW MARKET ST, PORTLAND, OR 97201-3363
(605) 370-0125
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(605) 370-0125
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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