Individual
AVERY ESCOBEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 757-1852
Mailing address
5072 SW TECHNOLOGY LOOP APT 123, CORVALLIS, OR 97333-1578
(209) 769-8937
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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