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1407559230
YAIRA CANCHOLA
PORTLAND, OR
NPI
1407559230
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Other Name
YAIRA ENRIQUEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: OR 2890933)
Enumeration Date
2023-03-22
Last Update Date
2023-03-22
Business Address
YAIRA CANCHOLA
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 971-335-7798
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Mailing Address
YAIRA CANCHOLA
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 971-335-7798
Copy
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