Individual
MR. RAUL AGGABAO GAMMARU JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2216 TEAKWOOD AVE NW, SALEM, OR 97304-1344
(503) 684-0311
(503) 689-8088
Mailing address
2216 TEAKWOOD AVE NW, SALEM, OR 97304-1344
(503) 684-0311
(503) 689-8088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62166
OR
Other
Enumeration date
10/04/2010
Last updated
07/28/2020
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