Individual
CARLOS ALFREDO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4400 NE HALSEY ST BLDG 2, PORTLAND, OR 97213-1545
(503) 215-7423
Mailing address
4400 NE HALSEY ST BLDG 2, PORTLAND, OR 97213-1545
(503) 215-7423
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
10014136
OR
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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