Individual
CAROLINA MARIA CASAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
THW
Contact information
Practice address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(503) 645-3581
Mailing address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(305) 978-4867
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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