MADDOX ROSE LILJA

PORTLAND, OR
NPI1972385458
Former NameMADELEINE LILJA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2023-10-18
Last Update Date2023-10-18
Business Address
MADDOX ROSE LILJA
4729 SE 75TH AVE
PORTLAND, OR 97206-4351
Phone number: 503-788-1680
Mailing Address
MADDOX ROSE LILJA
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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