Individual
MR. RICARDO H. MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
POLYGRAPH EXAMINER
Contact information
Practice address
1400 NW IRVING ST APT 709, PORTLAND, OR 97209-2260
(360) 977-3314
Mailing address
1400 NW IRVING ST APT 709, PORTLAND, OR 97209-2260
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
84179
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84179
OREGON POLYGRAPH EXAMINER TRAINEE LICENSE
OR
Enumeration date
03/02/2017
Last updated
03/02/2017
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