Individual
MISS BETH RENAH CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3517 SW WONDERVIEW AVE, GRESHAM, OR 97080-8574
(971) 401-5816
Mailing address
3517 SW WONDERVIEW AVE, GRESHAM, OR 97080-8574
(971) 401-5816
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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