Healthcare Provider Details

I. General information

NPI: 1922925981
Provider Name (Legal Business Name): ARYELLE FLORES-MONTERO
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7405 SW TECH CENTER DR STE 100
TIGARD OR
97223-8056
US

IV. Provider business mailing address

2847 UPPER DR
LAKE OSWEGO OR
97035-3663
US

V. Phone/Fax

Practice location:
  • Phone: 503-734-7764
  • Fax:
Mailing address:
  • Phone: 503-734-7764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberBAP-E-10268744
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: