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1013762939
DAVID CALDERILLA
PORTLAND, OR
NPI
1013762939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-24-3828)
Enumeration Date
2024-04-23
Last Update Date
2024-04-23
Business Address
DAVID CALDERILLA
12672 SE STARK ST
PORTLAND, OR 97233-1058
Phone number: 503-546-9975
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Mailing Address
DAVID CALDERILLA
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number:
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