Individual
MR. CARLO MAGNO DONOR CATABIJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 NW BETHANY BLVD # 210, BEAVERTON, OR 97006-5208
(503) 626-9494
Mailing address
1649 FORMAN AVE, SAN JOSE, CA 95124-4709
(323) 600-4111
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T2632
OR
Other
Enumeration date
11/14/2016
Last updated
04/17/2025
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