JAQUELINE LANDA

Peer Specialist

Active Individual
NPI: 1356159784

Practice Address

1312 E POWELL BLVD
Gresham, OR 97030

Phone: (971) 706-1978

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes 112881 (OR)

Frequently Asked Questions

NPI 1356159784 is the National Provider Identifier for JAQUELINE LANDA, a Peer Specialist provider located in Gresham, OR. This NPI was enumerated on December 18, 2024.
JAQUELINE LANDA practices at 1312 E POWELL BLVD, Gresham, OR 97030.

Quick Facts

NPI
1356159784
Type
Individual
Enumerated
Dec 18, 2024
Last Updated
Dec 18, 2024

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