UCHECHUKWU CALLISTUS IBEWUIKE

PORTLAND, OR
NPI1023634292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  PG198039)
Enumeration Date2020-06-23
Last Update Date2020-06-23
Business Address
UCHECHUKWU CALLISTUS IBEWUIKE MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 813-506-4889
Mailing Address
UCHECHUKWU CALLISTUS IBEWUIKE MD
359 SW HAMILTON ST
PORTLAND, OR 97239-4037
Phone number: 813-506-4889
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