Mayra Itzel Capistran
Social Worker, School in Portland, OR. Individual provider (NPI-1).
NPI number1427770296
StatusActive
Last updated in NPPESSep 16, 2022
Details
- NPI
- 1427770296
- Entity type
- Individual (NPI-1)
- Name
- Mayra Itzel Capistran
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2022
- Certification date
- Sep 16, 2022
- Last updated
- Sep 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041S0200X | Social Worker, School | – | – | Yes |
Practice location
501 N Dixon StPortland, OR 97227-1804
Phone 503-916-2000
Mailing address
7500 Sw Canyon LnPortland, OR 97225-3810
Phone 323-485-7246
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