Individual
ANTHONY A ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2065 NE TUCSON WAY APT 110, BEND, OR 97701-5182
(541) 383-3005
(541) 383-1883
Mailing address
PO BOX 4228, PORTLAND, OR 97208-4228
(541) 383-3005
(541) 383-1883
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000110261
OR
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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