Individual
MR. CHRISTOPHER MARCEL CAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4890 32ND AVE SE, SALEM, OR 97317-9350
(503) 588-5647
Mailing address
249 DEANN DR, APT 5, INDEPENDENCE, OR 97351-2546
(805) 807-3430
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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