Individual
MR. MICHAEL PAUL PALGUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2333 SE 12TH AVE, APT 165, PORTLAND, OR 97214-5323
(816) 516-3479
Mailing address
2333 SE 12TH AVE, APT 165, PORTLAND, OR 97214-5323
(816) 516-3479
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/24/2011
Last updated
09/30/2013
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