Individual
MAXIMILIANO NEALON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1204 SE 51ST AVE, PORTLAND, OR 97215-2615
(720) 352-2876
Mailing address
1204 SE 51ST AVE, PORTLAND, OR 97215-2615
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C5927
OR
Other
Enumeration date
11/28/2020
Last updated
11/28/2020
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