Most Relevant Information
Provider Data
| NPI Number: | 1003653247 |
| Provider Name: | JULIA DARLENE PORRAS CRM II, PWS, PSS |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/15/2024 |
| Last Updated: | 07/15/2024 |
Provider Practice Location
200 SE 7TH AVE
PORTLAND
OR
972141200
Practice Location Phone/Fax
| Phone: | 5032350131 |
| Fax: |
Provider Mailing Location
200 SE 7TH AVE
PORTLAND
OR
972141200
Provider Mailing Phone/Fax
| Phone: | 5032350131 |
| Fax: |