Individual
MR. ROBERT VERVLOET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
USTAF
Contact information
Practice address
2636 SW BEAVERTON HILLSDALE HWY, #C, PORTLAND, OR 97239-1169
(503) 515-3148
Mailing address
2636 SW BEAVERTON HILLSDALE HWY, #C, PORTLAND, OR 97239-1169
(503) 515-3148
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
L1042419
OR
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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