Individual
MARICELA PEDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
84 NE WEIDLER ST, PORTLAND, OR 97232-1119
(971) 380-7594
Mailing address
84 NE WEIDLER ST, PORTLAND, OR 97232-1119
(971) 380-7594
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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