THEODORE CALLAWAY

PORTLAND, OR
NPI1265922280
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-05-15
Last Update Date2018-05-15
Business Address
THEODORE CALLAWAY
1427 SE 182ND AVE
PORTLAND, OR 97233-5008
Phone number: 971-202-7781
Mailing Address
THEODORE CALLAWAY
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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