Individual
CORY GARGUILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2167 NW 185TH AVE, HILLSBORO, OR 97124-7074
(503) 336-3456
Mailing address
2167 NW 185TH AVE, HILLSBORO, OR 97124-7074
(503) 336-3456
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-22910
OR
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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