Mariella Mandujano

NPI #1144911231 in Milwaukie, Oregon

Provider Information

NPI Number: 1144911231
Entity Type: Individual
Name: Mariella Mandujano
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: May 18, 2023
Last Updated: May 18, 2023

Practice Location

Address: 11097 SE 21ST AVE
City: Milwaukie
State: Oregon
ZIP Code: 97222-7640
Phone: (503) 974-9025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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