Individual
CHARLES RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2308 SW EVERGREEN AVE, REDMOND, OR 97756-9334
(541) 508-6817
Mailing address
2308 SW EVERGREEN AVE, REDMOND, OR 97756-9334
(541) 508-6817
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-10245992
OR
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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