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1003515636
ALEXANDER CRISCUOLO
TUALATIN, OR
NPI
1003515636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-03-02
Last Update Date
2023-03-02
Business Address
ALEXANDER CRISCUOLO
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062-8607
Phone number: 503-612-1000
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Mailing Address
ALEXANDER CRISCUOLO
450 NW SKYLINE BLVD
PORTLAND, OR 97229-6800
Phone number: 503-296-9571
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