Mr. PRINCE ROLAND AGBONZE --
Individual Provider (NPI-1)
Active
Home Health Aide
Provider Information
- NPI Number
1326364894- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2817 NE 156TH AVE, PORTLAND, OR, 972305101
- Phone
- (503) 891-4266
- Fax
- (503) 284-4067
Specialties & Taxonomies
Home Health Aide
Primary License: OR #374U00000x