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Case Management Agency

NPI: 1780551663Individual

Specialties, Licenses & Credentials

Counselor

Code: 101Y00000X

Case Management AgencyPrimary

Case Management

Code: 251B00000X

Contact & Hours

Address: 605 SE CESAR ESTRADA CHAVEZ BLVD,
PORTLAND, OR 97214
Phone: (503) 731-9593

Quick Facts

NPI: 1780551663
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 1

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