Provider Demographics
NPI:1033741103
Name:PERFECTO, CLAUDIA RAQUEL
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:RAQUEL
Last Name:PERFECTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8365 SW WARM SPRINGS ST
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-9003
Mailing Address - Country:US
Mailing Address - Phone:503-984-3157
Mailing Address - Fax:
Practice Address - Street 1:18813 SW MARTINAZZI AVE
Practice Address - Street 2:
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-6807
Practice Address - Country:US
Practice Address - Phone:503-765-5265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-06
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC193430171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist