MR. Jose Luis De La Torre JR., MA

NPI #1477391878 in Gresham, Oregon

Provider Information

NPI Number
1477391878
Entity Type
Individual
Name
MR. Jose Luis De La Torre JR., MA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Prevention Professional
Credential
MA
Enumeration Date
Jul 18, 2024
Last Updated
Jul 18, 2024

Practice Location

Address
1312 E POWELL BLVD
State
Oregon
ZIP Code
97030-8003
Phone
(503) 546-6377

Specialties & Taxonomy Codes

Specialty
Peer Specialist
Prevention Professional

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