Individual
MARIA C CALDERON SIQUINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPTH
Contact information
Practice address
619 NW 6TH AVE FL 1, PORTLAND, OR 97209-3964
(503) 988-5267
Mailing address
619 NW 6TH AVE, PORTLAND, OR 97209-3964
(503) 988-5267
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
0006233
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006233
—
OR
Enumeration date
06/29/2020
Last updated
06/29/2020
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