Individual
YADIRA RICOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
3034 NE MLK JR BLVD, PORTLAND, OR 97212-3053
(503) 233-5816
(503) 735-0912
Mailing address
3034 NE MLK JR BLVD, PORTLAND, OR 97212
(503) 233-5816
(503) 735-0912
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/15/2008
Last updated
05/08/2008
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