Individual
MRS. ANGELA M CAIAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
123 E POWELL BLVD, SUITE #303, GRESHAM, OR 97030-7624
(503) 516-8266
Mailing address
123 E POWELL BLVD, SUITE #303, GRESHAM, OR 97030-7624
(503) 516-8266
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
01132
NV
106H00000X
Marriage & Family Therapist
Primary
T0828
OR
Other
Enumeration date
04/16/2008
Last updated
08/30/2012
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