Individual
DAVID PAGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 NE 7TH ST, GRESHAM, OR 97030-5604
(503) 661-5455
Mailing address
5827 SW LABER CT, PORTLAND, OR 97221-1216
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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