Individual
RICARDO BUZOLLO PRATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
435 NE EVANS ST STE A, MCMINNVILLE, OR 97128-4628
(503) 472-4020
(503) 472-8630
Mailing address
435 NE EVANS ST STE A, MCMINNVILLE, OR 97128-4628
(503) 472-4020
(503) 472-8630
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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