Individual
JUANCARLOS MUNOZ SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
254 N 1ST AVE, HILLSBORO, OR 97124-3003
(503) 432-0288
Mailing address
254 N 1ST AVE, HILLSBORO, OR 97124-3003
(503) 432-0288
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
15-CRM-153
OR
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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