CORRISA MALAT

PORTLAND, OR
NPI1790457612
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2021-09-29
Last Update Date2023-10-19
Business Address
CORRISA MALAT
1715 SE 32ND PL
PORTLAND, OR 97214-5016
Phone number: 503-234-9591
Mailing Address
CORRISA MALAT
1715 SE 32ND PL
PORTLAND, OR 97214-5016
Phone number: 503-234-9591