KIRK L CAUDLE

PORTLAND, OR
NPI1063706091
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-06-07
Last Update Date2011-06-07
Business Address
Mr. KIRK L CAUDLE QMHA, BA
6449 SE 128TH AVE
PORTLAND, OR 97236-4652
Phone number: 503-726-3796
Mailing Address
Mr. KIRK L CAUDLE QMHA, BA
10313 SW 69TH AVE
TIGARD, OR 97223-9103
Phone number: 503-726-3690