Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRELA GAVOJDEA
Active Sole ProprietorMIRELA GAVOJDEA is a Assisted Living Facility healthcare provider located in TIGARD, Oregon. NPI 1477009140 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · TIGARD, OR
Registration Details
- NPI Number
- 1477009140
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2016 (9.9706932311679 yrs)
- Last Updated
- Aug 31, 2016
- License
-
511807 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12625 SW GRANT AVE.TIGARD, OR, 97223Browse OR providers · Browse ZIP 97223
- Phone
- 5036208425
- Primary Specialty
-
Assisted Living Facility
311ZA0620X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.