Individual
CAESAR MORALES-SUARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12240 NW BARNES RD APT 28, PORTLAND, OR 97229-5950
(971) 600-7579
Mailing address
12240 NW BARNES RD APT 28, PORTLAND, OR 97229-5950
(971) 600-7579
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
2563342
OR
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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