Individual
KEVIN BERTADILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA-R
Contact information
Practice address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-5452
(541) 296-9418
Mailing address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-5452
(541) 296-9418
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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