Individual
CRISTOBAL ANDRES YACELGA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
1312 SW 10TH AVE APT 1014, PORTLAND, OR 97201-3479
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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