Individual
RICARDO SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 PEARL ST, OREGON CITY, OR 97045-2684
(503) 657-9889
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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