Individual
CARLOS JON PAUL GEORGE NAVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1734 N TERRY ST, PORTLAND, OR 97217-6543
(971) 207-2341
Mailing address
1734 N TERRY ST, PORTLAND, OR 97217-6543
(971) 207-2341
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64176
OR
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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