Individual
PEDRO RAFAEL CARBALLEDA- ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
245 SE 4TH AVE, SUITE G, HILLSBORO, OR 97123-4033
(503) 681-9673
(503) 844-4093
Mailing address
245 SE 4TH AVE, SUITE G, HILLSBORO, OR 97123
(503) 681-9673
(503) 844-4093
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17648
OR
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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