Provider Demographics
NPI:1114758232
Name:CALINGA, ANGELO LORENZO
Entity type:Individual
Prefix:
First Name:ANGELO LORENZO
Middle Name:
Last Name:CALINGA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 NE 146TH AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97230-4265
Mailing Address - Country:US
Mailing Address - Phone:510-305-1516
Mailing Address - Fax:
Practice Address - Street 1:217 NE 146TH AVE APT 6
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97230-4265
Practice Address - Country:US
Practice Address - Phone:510-305-1516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-10
Last Update Date:2024-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program