ELISEO CALVILLO

SALEM, OR
NPI1497195432
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  13-06-08)
Enumeration Date2013-07-03
Last Update Date2013-11-13
Business Address
-- ELISEO CALVILLO CACD I
3325 HAROLD DR NE
SALEM, OR 97305-1339
Phone number: 503-540-5574
Mailing Address
-- ELISEO CALVILLO CACD I
3325 HAROLD DR NE
SALEM, OR 97305-1339
Phone number: 503-540-5574
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