Provider Demographics
NPI:1790415776
Name:CABALLEGAN, ORLANDO TORRES II
Entity Type:Individual
Prefix:MR
First Name:ORLANDO
Middle Name:TORRES
Last Name:CABALLEGAN
Suffix:II
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 1:11191 SE CAUSEY CIR
Mailing Address - Street 2:
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-4709
Mailing Address - Country:US
Mailing Address - Phone:971-529-6718
Mailing Address - Fax:
Practice Address - Street 1:15661 SE 82ND DR
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-9580
Practice Address - Country:US
Practice Address - Phone:503-343-9851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR26494225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty