MICAH DESHAZO

PORTLAND, OR
NPI1154963437
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-10-08
Last Update Date2019-10-08
Business Address
MICAH DESHAZO
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-555-5555
Mailing Address
MICAH DESHAZO
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number:
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