ANTHONY A ESTRADA

BEND, OR
NPI1649040411
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: OR  THW000110261)
Enumeration Date2024-01-03
Last Update Date2024-01-03
Business Address
ANTHONY A ESTRADA
2065 NE TUCSON WAY APT 110
BEND, OR 97701-5182
Phone number: 541-383-3005
Mailing Address
ANTHONY A ESTRADA
PO BOX 4228
PORTLAND, OR 97208-4228
Phone number: 541-383-3005
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