Individual
RICKARD L JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.P.T.
Contact information
Practice address
2726 19TH AVE, FOREST GROVE, OR 97116-2623
(503) 357-7822
(503) 357-1472
Mailing address
PO BOX 1136, FOREST GROVE, OR 97116-4136
(503) 357-7822
(503) 357-1472
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3122
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295470
—
OR
Enumeration date
01/08/2007
Last updated
04/25/2008
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