Individual
AZEL ROS AVILES DOUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
420 SE 17TH ST, PENDLETON, OR 97801-3306
(541) 276-4100
Mailing address
316 ROSEHAVEN ST, WALLA WALLA, WA 99362-5509
(509) 240-2696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501013954
MI
225100000X
Physical Therapist
Primary
6018
OR
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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