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1164897310
LUIS OLIVERA
PORTLAND, OR
NPI
1164897310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OR 7783121)
Enumeration Date
2015-12-14
Last Update Date
2015-12-14
Business Address
-- LUIS OLIVERA
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4200
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Mailing Address
-- LUIS OLIVERA
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4200
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