MELBA DOMINGO

PORTLAND, OR
NPI1528440542
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: OR  13-1520)
Enumeration Date2015-06-25
Last Update Date2015-06-25
Business Address
-- MELBA DOMINGO CEO
11707 NE GLISAN ST
PORTLAND, OR 97220-2141
Phone number: 503-444-7605
Mailing Address
-- MELBA DOMINGO CEO
11707 NE GLISAN ST
PORTLAND, OR 97220-2141
Phone number: 503-444-7605
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