Individual
KOMALA CHIGATERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5457 SW CANYON CT, PORTLAND, OR 97221-2401
(971) 762-4663
Mailing address
14010 SW TEAL BLVD APT F, BEAVERTON, OR 97008-4367
(503) 410-6521
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-B-10207746
OR
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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