Individual
MR. VINCENT P LOERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
Mailing address
3004 NE OREGON ST, PORTLAND, OR 97232-2450
(503) 320-7051
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9253855
OR
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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