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1639392269
CARLOS CEBALLOS, MD
PORTLAND, OR
NPI
1639392269
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Entity Type
Organization
Authorized Contact
CARLOS CEBALLOS
Owner
503-650-4359
Organization Subpart ?
No
Primary Taxonomy
208VP0000X Pain Medicine Pain Medicine
Enumeration Date
2007-04-11
Last Update Date
2020-08-22
Business Address
CARLOS CEBALLOS, MD
10373 NE HANCOCK ST STE 216
PORTLAND, OR 97220-3873
Phone number: 503-650-4359
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Mailing Address
CARLOS CEBALLOS, MD
PO BOX 53
GLADSTONE, OR 97027-0053
Phone number: 503-650-4359
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