Individual
KELVIN C GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
Mailing address
1030 NE COUCH ST, PORTLAND, OR 97232-3067
(503) 239-8400
(503) 239-8407
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
22-CRM-1366
OR
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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