Individual provider · Type 1 NPI

Savannah Maria Demicoli

Specialist · Portland, OR

NPI number 1528875481 Active

Practice location

805 SE 151st Ave
Portland, OR 97233-2916

Mailing address

2600 SE Orient Dr
Gresham, OR 97080-9086

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1528875481

Savannah Maria Demicoli's National Provider Identifier is 1528875481, issued on Dec 14, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Dec 14, 2024.