Latoya Manlove
Peer Specialist in Portland, OR. Individual provider (NPI-1).
NPI number1033713664
StatusActive
Last updated in NPPESNov 24, 2020
Details
- NPI
- 1033713664
- Entity type
- Individual (NPI-1)
- Name
- Latoya Manlove
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 24, 2020
- Certification date
- Nov 24, 2020
- Last updated
- Nov 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | THW000003522 | – | Yes |
Practice location
7916 Se Foster Rd Ste 201Portland, OR 97206-4289
Phone 503-465-2749
Mailing address
Po Box 16576Portland, OR 97292-0576
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