MEDICARE: GABRIELA CALDERON-ZACHARIU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	18219	OR

General Provider Information

NPI Number	:	1871321349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELA CALDERON-ZACHARIU

Provider Business Mailing Address
First Line	:	23029 NE ARATA RD APT 3
Second Line	:
City	:	WOOD VILLAGE
State	:	OR
Zip	:	97060-2754
Country	:	US
Telephone Number	:	619-636-4555
Fax Number	:

Provider Business Practice Location Address
First Line	:	23029 NE ARATA RD APT 3
Second Line	:
City	:	WOOD VILLAGE
State	:	OR
Zip	:	97060-2754
Country	:	US
Telephone Number	:	619-636-4555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2024
Last Update Date	:	07/25/2024

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Directions to “ GABRIELA CALDERON-ZACHARIU ” Practice Location

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