Individual
DAISHA JOHNELLE VILLENA ACORDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 SE 8TH AVE, HILLSBORO, OR 97123-4218
(503) 352-7222
Mailing address
1271 CLEARVIEW AVE NE, KEIZER, OR 97303-4765
(808) 557-5019
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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