RAINE T WAYDA

PORTLAND, OR
NPI1316625072
Former NameELIJAH WAYDA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2023-07-11
Last Update Date2024-10-10
Business Address
RAINE T WAYDA
9125 SW 55TH AVE
PORTLAND, OR 97219-5018
Phone number: 503-477-4622
Mailing Address
RAINE T WAYDA
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: