Individual
JOSHUA RILATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
15 SHASTA CT, SILETZ, OR 97380-9712
(541) 819-2872
Mailing address
PO BOX 320, SILETZ, OR 97380-0320
(541) 272-4191
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
23-CRM-2226
OR
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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