MELBA DOMINGO, CEO
Medical Practice at Glisan St, Portland, OR

License number
Oregon 13-1520
Category
Medical Practice
Type
Community Health Worker
Address
Address
11707 NE Glisan St, Portland, OR 97220
Phone
(503) 444-7605
(971) 266-8643 (Fax)
National Provider ID: 1528440542
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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