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Individual

JESUS RIO-CALDERON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
2333 PACIFIC AVENUE, FOREST GROVE, OR 97116
(503) 359-6145
(503) 359-6919
Mailing address
1315 KINGWOOD ST, FOREST GROVE, OR 97116
(503) 359-0247
(503) 359-6919

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8394
OR

Other

Enumeration date
07/23/2006
Last updated
07/08/2007
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