CRISTOBAL ANDRES YACELGA CASTILLO

PORTLAND, OR
NPI1225524424
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1100X Technician/Technologist, Ophthalmic
Enumeration Date2018-07-11
Last Update Date2018-07-11
Business Address
CRISTOBAL ANDRES YACELGA CASTILLO
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
Mailing Address
CRISTOBAL ANDRES YACELGA CASTILLO
1312 SW 10TH AVE APT 1014
PORTLAND, OR 97201-3479
Phone number: