Nicole Degli Esposti Barajas
Counselor in Portland, OR. Individual provider (NPI-1).
NPI number1184471237
StatusActive
Last updated in NPPESDec 6, 2024
Details
- NPI
- 1184471237
- Entity type
- Individual (NPI-1)
- Name
- Nicole Degli Esposti Barajas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 6, 2024
- Certification date
- Dec 6, 2024
- Last updated
- Dec 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 1184471237 | OR | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
5415 Sw Westgate DrPortland, OR 97221-2409
Phone 503-645-3581
Mailing address
5415 Sw Westgate DrPortland, OR 97221-2409
Phone 503-645-3581
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