CHARLI JOSAFAT ISIDRO ORTIZ

PORTLAND, OR
NPI1841995701
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-03-31
Last Update Date2023-03-31
Business Address
CHARLI JOSAFAT ISIDRO ORTIZ
209 SW 4TH AVE
PORTLAND, OR 97204-1813
Phone number: 971-438-6186
Mailing Address
CHARLI JOSAFAT ISIDRO ORTIZ
209 SW 4TH AVE
PORTLAND, OR 97204-1813
Phone number: 971-438-6186
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