Individual
CORAL ROSE SUNSHINE BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223-6876
(971) 236-0915
Mailing address
1313 SE MILLER ST # 13, PORTLAND, OR 97202-6621
(831) 521-7620
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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