Individual
AUGUSTINE BERNARD CANTWELL DOBLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7305 SE CIRCUIT DR STE 140, HILLSBORO, OR 97123-1915
(971) 501-4905
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64158
OR
Other
Enumeration date
08/24/2021
Last updated
04/21/2023
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