Provider Demographics
NPI:1609406776
Name:OLERO, LILIAN A
Entity Type:Individual
Prefix:
First Name:LILIAN
Middle Name:A
Last Name:OLERO
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 1:17537 SE MARIE ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97236-1327
Mailing Address - Country:US
Mailing Address - Phone:971-712-3074
Mailing Address - Fax:
Practice Address - Street 1:17537 SE MARIE ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97236-1327
Practice Address - Country:US
Practice Address - Phone:971-712-3074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-17
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula