Provider Demographics
NPI:1760289870
Name:APARICIO, MAILIN L (CRM)
Entity type:Individual
Prefix:
First Name:MAILIN
Middle Name:L
Last Name:APARICIO
Suffix:
Gender:
Credentials:CRM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 SE 5TH AVE STE C
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-4095
Mailing Address - Country:US
Mailing Address - Phone:503-543-6100
Mailing Address - Fax:503-214-8911
Practice Address - Street 1:134 SE 5TH AVE STE C
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4095
Practice Address - Country:US
Practice Address - Phone:503-543-6100
Practice Address - Fax:503-214-8911
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR25-CRM-4107175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist