ANDREW DIAZ

PORTLAND, OR
NPI1720525751
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  238748290)
Enumeration Date2017-01-29
Last Update Date2017-01-29
Business Address
-- ANDREW DIAZ
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4200
Mailing Address
-- ANDREW DIAZ
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4200
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