Provider Demographics
NPI:1558869503
Name:MORALES FELIX, GELSCA DESINDIA
Entity Type:Individual
Prefix:
First Name:GELSCA
Middle Name:DESINDIA
Last Name:MORALES FELIX
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 1:17371 SW VINCENT ST
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97078-4752
Mailing Address - Country:US
Mailing Address - Phone:503-901-7530
Mailing Address - Fax:
Practice Address - Street 1:17371 SW VINCENT ST
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97078-4752
Practice Address - Country:US
Practice Address - Phone:503-901-7530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-24
Last Update Date:2018-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker