Individual
MARINA ANN SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
11970 SW GREENBURG RD, TIGARD, OR 97223-6453
(503) 624-8304
(503) 670-0520
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
(503) 239-8407
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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