Individual
DAVID MCCAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3036 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-3053
(503) 283-3763
Mailing address
3036 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-3053
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
11/22/2019
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