Divine Irambona, BEHAVIORALTECHNICIA
Divine Irambona, BEHAVIORALTECHNICIA is an Other Technician in Portland, Oregon. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
4949 SW Macadam AvePortland, OR 97239-3912
Phone: (800) 273-9292
Fax: (949) 253-4627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1164930376 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | BEHAVIORALTECHNICIA |
| Sole proprietor | No |
| NPI enumerated | January 22, 2018 |
| Last updated in NPPES | January 22, 2018 |
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