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1841995701
CHARLI JOSAFAT ISIDRO ORTIZ
PORTLAND, OR
NPI
1841995701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-03-31
Last Update Date
2023-03-31
Business Address
CHARLI JOSAFAT ISIDRO ORTIZ
209 SW 4TH AVE
PORTLAND, OR 97204-1813
Phone number: 971-438-6186
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Mailing Address
CHARLI JOSAFAT ISIDRO ORTIZ
209 SW 4TH AVE
PORTLAND, OR 97204-1813
Phone number: 971-438-6186
Copy
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