Individual
RODRIGO GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2655 SE 50TH AVE APT 117, PORTLAND, OR 97206-1577
(541) 371-0853
Mailing address
78800 DOWNEY RD, BOARDMAN, OR 97818-9696
(541) 371-0853
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
10003240
OR
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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