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Individual

MR. CHARLIE A GUINASSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
18765 SW BOONES FERRY RD STE 100, TUALATIN, OR 97062-8607
(503) 612-1000
Mailing address
72 NANSEN SMT, LAKE OSWEGO, OR 97035-1043

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
08/10/2020
Last updated
08/10/2020
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