Individual
BRYAN LLANTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
735 SW 158TH AVE STE 160, BEAVERTON, OR 97006-4915
(503) 597-0035
(503) 726-5490
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
(517) 435-3670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63827
OR
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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