Individual
MR. RICHARD A CORNELIUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPFT
Contact information
Practice address
3500 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 331-5153
Mailing address
4223 NE 152ND AVE, VANCOUVER, WA 98682-7000
(360) 256-5022
Taxonomy
Speciality
Code
Description
License number
State
225B00000X
Pulmonary Function Technologist
Primary
RT-P-000398
OR
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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