Individual
ROBERT LUIS GALLARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
(RT) R
Contact information
Practice address
19300 SW 65TH AVE, TUALATIN, OR 97062-7706
(541) 206-0789
Mailing address
12012 NE 110TH ST, VANCOUVER, WA 98682-1681
(541) 206-0789
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
918782
OR
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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