Provider Demographics
NPI:1760120406
Name:CALE, INDIA NADINE
Entity Type:Individual
Prefix:
First Name:INDIA
Middle Name:NADINE
Last Name:CALE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 SANTA ROSA AVE
Mailing Address - Street 2:
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-2547
Mailing Address - Country:US
Mailing Address - Phone:650-207-6502
Mailing Address - Fax:
Practice Address - Street 1:832 NE 162ND AVE BLDG F
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97230-5765
Practice Address - Country:US
Practice Address - Phone:530-239-8101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician