Individual
JESUS JASSED NUNEZ-PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11073 SE MAIN ST, MILWAUKIE, OR 97222-7645
(541) 690-6056
Mailing address
11073 SE MAIN ST, MILWAUKIE, OR 97222-7645
(541) 690-6056
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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