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1093640690
MOISES SIMON BARTOLO
PORTLAND, OR
NPI
1093640690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: OR 109873)
Enumeration Date
2026-06-15
Last Update Date
2026-06-15
Business Address
MOISES SIMON BARTOLO
650 S GAINES ST APT 1712
PORTLAND, OR 97239-4771
Phone number: 458-270-9199
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Mailing Address
MOISES SIMON BARTOLO
650 S GAINES ST APT 1712
PORTLAND, OR 97239-4771
Phone number:
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