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Individual

ABRAHAM RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
(541) 487-4076
Mailing address
835 ROYALTY DR NE, SALEM, OR 97301-2589
(971) 701-7346

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
06/11/2021
Last updated
06/11/2021
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