CARLOS CEBALLOS, MD

PORTLAND, OR
NPI1639392269
Entity TypeOrganization
Authorized ContactCARLOS CEBALLOS
Owner
503-650-4359
Organization Subpart ?No
Primary Taxonomy208VP0000X 
Enumeration Date2007-04-11
Last Update Date2020-08-22
Business Address
CARLOS CEBALLOS, MD
10373 NE HANCOCK ST STE 216
PORTLAND, OR 97220-3873
Phone number: 503-650-4359
Mailing Address
CARLOS CEBALLOS, MD
PO BOX 53
GLADSTONE, OR 97027-0053
Phone number: 503-650-4359
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