Individual
ROBERT WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17062 SW COBBLESTONE DR, SHERWOOD, OR 97140-8296
(503) 864-0379
Mailing address
17062 SW COBBLESTONE DR, SHERWOOD, OR 97140-8296
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
4100517
OR
Other
Enumeration date
12/24/2024
Last updated
12/24/2024
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