Individual
JOSE LUIS RAMIREZ MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 NE 102ND AVE, PORTLAND, OR 97220-4166
(503) 254-6317
Mailing address
912 NE KELLY AVE, GRESHAM, OR 97030-5629
(503) 912-5502
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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