Audelia Decosta
Audelia Decosta is a Social Worker in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
3181 SW Sam Jackson Park RdPortland, OR 97239-3011 Not confirmed with CMS for 10 years — call before visiting
Phone: (503) 418-1793
Fax: (503) 418-5516
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1770763294 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 13, 2007 |
| Last updated in NPPES | December 18, 2015 |
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