Individual
ELISEO CALVILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CACD I
Contact information
Practice address
3325 HAROLD DR NE, SALEM, OR 97305-1339
(503) 540-5574
(503) 399-0655
Mailing address
3325 HAROLD DR NE, SALEM, OR 97305-1339
(503) 540-5574
(503) 399-0655
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13-06-08
OR
Other
Enumeration date
07/03/2013
Last updated
11/13/2013
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