person
Lidia Magali Jimenez
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1336838499

Lidia Magali Jimenez is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Lidia Magali Jimenez practices in Portland, OR. The NPI Number for Lidia Magali Jimenez is 1336838499 and holds a License No. (Oregon).

The current practice location address for Lidia Magali Jimenez is 6200 Se King Rd, Portland, OR and can be reached out via phone at 503-546-6377.

Location: 6200 Se King Rd, Portland, OR, 97222-2891
person
Provider Profile Details
NPI Number
1336838499
Provider Name
Lidia Magali Jimenez
Credential
Provider Entity Type
Individual
Gender
Female
Address
6200 Se King Rd, Portland, OR, 97222-2891
Phone Number
503-546-6377
Fax Number
Provider Enumeration Date
05/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6200 Se King Rd
City
State
Zip
97222-2891
Phone Number
503-546-6377
Fax Number
person
Provider Business Mailing Address Details
Address
6200 Se King Rd
City
State
Zip
97222-2891
Phone Number
503-546-6377
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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