VICTOR COLLAZO VIDALES

PORTLAND, OR
NPI1184246704
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-05-18
Last Update Date2020-05-18
Business Address
VICTOR COLLAZO VIDALES
2730 S MOODY AVE
PORTLAND, OR 97201-5042
Phone number: 503-494-0843
Mailing Address
VICTOR COLLAZO VIDALES
2730 S MOODY AVE
PORTLAND, OR 97201-5042
Phone number:
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