Individual
DR. QUISTO G OUCHAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
600 NW 11TH ST STE E31, HERMISTON, OR 97838-8604
(541) 667-3657
Mailing address
600 NW 11TH ST STE E31, HERMISTON, OR 97838-8604
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06955
OR
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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