Individual
ALBERTO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
16821 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-0499
(360) 433-9580
(866) 824-5107
Mailing address
728 MOLALLA AVE A B, OREGON CITY, OR 97045-2799
(503) 656-9030
(503) 656-9026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
LL18188
OR
363A00000X
Physician Assistant
Primary
PA01439
OR
Other
Enumeration date
08/29/2008
Last updated
06/05/2023
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