GERARDO MENA

PORTLAND, OR
NPI1578922621
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-02-17
Last Update Date2016-02-17
Business Address
Mr. GERARDO MENA BA, CDC II
18210 E BURNSIDE ST SUITE A
PORTLAND, OR 97233-5343
Phone number: 503-766-2582
Mailing Address
Mr. GERARDO MENA BA, CDC II
18210 E BURNSIDE ST SUITE A
PORTLAND, OR 97233-5343
Phone number: 503-766-2582
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