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Individual

MR. KISHAN A. PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1520 PLAZA ST NW, STE. 100, SALEM, OR 97304-4658
(541) 758-5900
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
12/04/2015
Last updated
12/04/2015
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