Avila Martin, Guadalupe L

Avila Martin, Guadalupe L is an individual health care provider with primary practice located at 6200 Se King Rd , Portland OR 97222-2891. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Avila Martin, Guadalupe L can be contacted via phone (503) 546-6377.

Contact Information

Primary practice address
6200 Se King Rd Portland OR 97222-2891
Phone: (503) 546-6377
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1588387898
LBN Legal business name Avila Martin, Guadalupe L
Credentials CHW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2022
Last updated Sep 22nd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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