Individual
MAYRA DE LEON AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 SW VERMONT ST STE A, PORTLAND, OR 97219-1945
(503) 334-0637
Mailing address
1820 SW VERMONT ST STE A, PORTLAND, OR 97219-1945
(503) 334-0637
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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