ABEYTAX BARANA

PORTLAND, OR
NPI1154139517
Former NameANTONIO BONILLA
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-12-18
Last Update Date2025-01-16
Business Address
ABEYTAX BARANA
18417 SE OAK ST
PORTLAND, OR 97233-4850
Phone number: 971-727-8026
Mailing Address
ABEYTAX BARANA
531 NE STAFFORD ST
PORTLAND, OR 97211-2849
Phone number: 503-839-4178
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