Individual
RONALD HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, CES
Contact information
Practice address
10123 SOUTHEAST MARKET STREET PORTLAND, PORTLAND, OR 97216
(541) 521-6334
Mailing address
9920 TALBERT ST, CLACKAMAS, OR 97015
(541) 521-6334
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
655312
OR
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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