Individual
ANGELA GIMENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5305 RIVER RD N STE B, KEIZER, OR 97303-5324
(503) 985-6419
Mailing address
8630 SW SCHOLLS FERRY RD # 185, BEAVERTON, OR 97008-6621
(503) 985-6419
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
10/05/2021
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