Individual
MR. RAMON OBDULIO SECAIRA I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TFP
Contact information
Practice address
1501 NE JOHNSON ST, MCMINNVILLE, OR 97128-3647
(971) 241-0105
Mailing address
1501 NE JOHNSON ST, MCMINNVILLE, OR 97128-3647
(971) 241-0105
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
5736928
OR
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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