Individual
HERBERT RANDALL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, MPH
Contact information
Practice address
270 NW BURNSIDE RD, GRESHAM, OR 97030-3836
(503) 215-9146
Mailing address
270 NW BURNSIDE RD, GRESHAM, OR 97030-3836
(503) 215-9146
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
60044
OR
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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