SAMUEL AHLQUIST

PORTLAND, OR
NPI1881227569
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2020-02-20
Last Update Date2020-02-20
Business Address
SAMUEL AHLQUIST
125 NE 102ND AVE
PORTLAND, OR 97220-4166
Phone number: 503-254-6317
Mailing Address
SAMUEL AHLQUIST
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: