DAVID CALDERILLA

PORTLAND, OR
NPI1013762939
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-24-3828)
Enumeration Date2024-04-23
Last Update Date2024-04-23
Business Address
DAVID CALDERILLA
12672 SE STARK ST
PORTLAND, OR 97233-1058
Phone number: 503-546-9975
Mailing Address
DAVID CALDERILLA
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: