Most Relevant Information
Provider Data
| NPI Number: | 1003585316 |
| Provider Name: | BLANCA VERONICA PEREZ CHW |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: | 104968 |
Most Important Dates
| Enumeration Date: | 09/09/2021 |
| Last Updated: | 09/09/2021 |
Provider Practice Location
1698 SW CHERRY PARK RD
TROUTDALE
OR
970601481
Practice Location Phone/Fax
| Phone: | 9718882424 |
| Fax: |
Provider Mailing Location
10317 E BURNSIDE ST FL 2
PORTLAND
OR
972162733
Provider Mailing Phone/Fax
| Phone: | 9718882424 |
| Fax: |