Individual
CIELO JIMENEZ-GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8550 SE 75TH PL, PORTLAND, OR 97206-9311
(971) 716-2738
Mailing address
8550 SE 75TH PL, PORTLAND, OR 97206-9311
(971) 716-2738
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OR
Other
Enumeration date
09/13/2024
Last updated
09/18/2024
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