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NPI Code Detail

MEDICARE: GELIN YOJANA DIAZ

MEDICARE: GELIN YOJANA DIAZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1669614459
Entity Type Code : Individual
Provider Name (Legal Business Name) : GELIN YOJANA DIAZ
Provider Business Mailing Address
First Line : 971 SW WALNUT ST
Second Line :
City : HILLSBORO
State : OR
Zip : 97123-5651
Country : US
Telephone Number : 503-640-5297
Fax Number : 503-640-5780
Provider Business Practice Location Address
First Line : 971 SW WALNUT ST
Second Line :
City : HILLSBORO
State : OR
Zip : 97123-5651
Country : US
Telephone Number : 503-640-5297
Fax Number : 503-640-5780
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2009
Last Update Date : 03/25/2009

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Directions to “ GELIN YOJANA DIAZ ” Practice Location

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