Individual
ISATOU BOJANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7759 SE 72ND AVE, PORTLAND, OR 97206-7921
(503) 788-4500
(503) 788-4506
Mailing address
7759 SE 72ND AVE, PORTLAND, OR 97206-7921
(503) 788-4500
(503) 788-4506
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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