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1366009151
MARIAH L VILLANUEVA
PORTLAND, OR
NPI
1366009151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-05-28
Last Update Date
2019-05-28
Business Address
MARIAH L VILLANUEVA
4400 NE HALSEY ST BLDG 2
PORTLAND, OR 97213-1545
Phone number: 503-893-6472
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Mailing Address
MARIAH L VILLANUEVA
13930N SE BUSH ST
PORTLAND, OR 97236-2942
Phone number: 509-280-0586
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