NYSA DESIREE FIRESTONE

PORTLAND, OR
NPI1437860970
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2022-12-06
Last Update Date2022-12-06
Business Address
NYSA DESIREE FIRESTONE
13317 SE POWELL BLVD
PORTLAND, OR 97236-3335
Phone number: 503-763-9606
Mailing Address
NYSA DESIREE FIRESTONE
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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