THANISSARA POOMLAOCHAENG

PORTLAND, OR
NPI1265866297
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2013-08-27
Last Update Date2013-08-27
Business Address
-- THANISSARA POOMLAOCHAENG
3034 NE MLK BLVD
PORTLAND, OR 97212-3053
Phone number: 503-889-2500
Mailing Address
-- THANISSARA POOMLAOCHAENG
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769