IVANA MICANOVIC

PORTLAND, OR
NPI1588962732
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2011-03-11
Last Update Date2011-03-11
Business Address
-- IVANA MICANOVIC
3550 SE WOODWARD ST
PORTLAND, OR 97202-1552
Phone number: 503-680-3103
Mailing Address
-- IVANA MICANOVIC
3550 SE WOODWARD ST
PORTLAND, OR 97202-1552
Phone number: 503-680-3103