Individual
OMAR CARBAJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1605 E LINCOLN RD, WOODBURN, OR 97071
(503) 982-9300
Mailing address
1605 E LINCOLN RD, WOODBURN, OR 97071-5137
(503) 982-9300
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OR
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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