TIMOTHY VICTORELLA

PORTLAND, OR
NPI1356728844
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2015-05-04
Last Update Date2015-05-04
Business Address
-- TIMOTHY VICTORELLA
847 NE 19TH AVE STE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
Mailing Address
-- TIMOTHY VICTORELLA
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769