Individual provider · Type 1 NPI

Mayra Itzel Capistran

School Social Worker · Portland, OR

NPI number 1427770296 Active

Practice location

501 N Dixon St
Portland, OR 97227-1804

Mailing address

7500 SW Canyon Ln
Portland, OR 97225-3810

Specialties and licenses

TaxonomyCodeLicense
School Social Worker Primary 1041S0200XNone listed

School Social Worker: Definition to come...

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About NPI 1427770296

Mayra Itzel Capistran's National Provider Identifier is 1427770296, issued on Sep 16, 2022. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Portland, OR. The record was last updated on Sep 16, 2022.