SOVANN DARA PEN

PORTLAND, OR
NPI1598038127
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: OR  C2800)
Enumeration Date2012-02-13
Last Update Date2012-02-13
Business Address
Mr. SOVANN DARA PEN L.P.C.
12 SE 14TH AVE #104
PORTLAND, OR 97214-1404
Phone number: 571-207-4718
Mailing Address
Mr. SOVANN DARA PEN L.P.C.
12 SE 14TH AVE #104
PORTLAND, OR 97214-1404
Phone number: 571-207-4718