Individual
RAUL CANCHOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3737 PORTLAND RD NE, SALEM, OR 97301
(503) 390-2600
Mailing address
3737 PORTLAND RD NE, SALEM, OR 97301-0311
(503) 390-2600
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/20/2017
Last updated
06/05/2018
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