Consuelo Icovino

NPI #1851281802 in Happy Valley, Oregon

Provider Information

NPI Number: 1851281802
Entity Type: Individual
Name: Consuelo Icovino
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jul 9, 2025
Last Updated: Jul 10, 2025

Practice Location

Address: 11211 SE 82ND AVE STE O
City: Happy Valley
State: Oregon
ZIP Code: 97086-7641
Phone: (503) 722-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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