Individual
PEDRO CEPEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9115 SW OLSEN RD STE 100, PORTLAND, OR 97223-6876
(971) 236-0915
Mailing address
4555 SW ERICKSON AVE APT 101, BEAVERTON, OR 97005-2657
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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