ULISSES FRAILE-MARTINEZ

CORVALLIS, OR
NPI1194364901
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: OR  THW000003917)
Enumeration Date2019-12-26
Last Update Date2019-12-26
Business Address
ULISSES FRAILE-MARTINEZ
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
Mailing Address
ULISSES FRAILE-MARTINEZ
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6825
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