Individual
JUNE POROTESANO TAUTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3530 SE 88TH AVE, PORTLAND, OR 97266-2396
(503) 772-4335
(503) 772-7910
Mailing address
3530 SE 88TH AVE, PORTLAND, OR 97266-2396
(503) 772-4335
(503) 772-7910
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000111383
OR
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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