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NPI Code Detail

MEDICARE: RICARDO SANCHEZ

MEDICARE:   RICARDO  SANCHEZ
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
11041C0700XClinical Social WorkerL7338OR

General Provider Information

NPI Number : 1679048979
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICARDO SANCHEZ
Provider Business Mailing Address
First Line : PO BOX 6689
Second Line :
City : PORTLAND
State : OR
Zip : 97228-6689
Country : US
Telephone Number : 503-413-3900
Fax Number : 503-413-3710
Provider Business Practice Location Address
First Line : 1002 N BOONES FERRY RD
Second Line :
City : WOODBURN
State : OR
Zip : 97071-9602
Country : US
Telephone Number : 503-981-9526
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2018
Last Update Date : 10/16/2018

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Directions to “ RICARDO SANCHEZ ” Practice Location

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