Individual
RENAN LACSON GAPASIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1951 21ST ST, FLORENCE, OR 97439-9771
(541) 997-8436
Mailing address
4480 HIGHWAY 101, APT 13, FLORENCE, OR 97439-8831
(360) 980-1647
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5572
OR
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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