Individual
MR. CARLOS L. LOERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1315 NW 4TH ST APT B, REDMOND, OR 97756-1328
(541) 504-2350
(541) 504-2354
Mailing address
8293 VIREO CT, REDMOND, OR 97756-9661
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT00002041
WA
225100000X
Physical Therapist
Primary
64227
OR
Other
Enumeration date
07/07/2006
Last updated
08/10/2022
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