JUAN JOSE VERA

PORTLAND, OR
NPI1801555396
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-12-11
Last Update Date2021-12-11
Business Address
JUAN JOSE VERA
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8311
Mailing Address
JUAN JOSE VERA
716 SW CHELTENHAM ST
PORTLAND, OR 97239-2604
Phone number: 707-816-6371