Irena Mametieff

NPI #1518473354 in Woodburn, Oregon

Provider Information

NPI Number: 1518473354
Entity Type: Individual
Name: Irena Mametieff
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 15, 2017
Last Updated: Dec 15, 2017

Practice Location

Address: 1369 N PACIFIC HWY STE 1369
City: Woodburn
State: Oregon
ZIP Code: 97071-3617
Phone: (971) 338-7761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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