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1669168779
SERGIO ENRIQUE ORTEGA
GRESHAM, OR
NPI
1669168779
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Other Name
SERGIO E ORTEGA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: OR THW000108654)
Enumeration Date
2023-04-12
Last Update Date
2023-04-12
Business Address
SERGIO ENRIQUE ORTEGA CHW
600 NE 8TH ST
GRESHAM, OR 97030-7317
Phone number: 971-865-1188
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Mailing Address
SERGIO ENRIQUE ORTEGA CHW
1220 SW 25TH ST
TROUTDALE, OR 97060-1741
Phone number: 503-701-1210
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