Individual
CARLOS ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 NW 6TH ST, GRANTS PASS, OR 97526-1524
(541) 955-9227
Mailing address
720 NW 6TH ST, GRANTS PASS, OR 97526-1524
(541) 955-9227
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
175T00000X
Peer Specialist
—
—
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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