Organization
RIO REHABILITATION CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FELIPE RAUL RODRIGUEZ DC (OWNER)
(817) 247-8717
Entity
Organization
Contact information
Practice address
16742 SE DIVISION ST, PORTLAND, OR 97236-1414
(503) 386-1993
(503) 386-1993
Mailing address
16742 SE DIVISION ST, PORTLAND, OR 97236-1414
(503) 386-1993
(503) 386-1993
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500706674
—
OR
Enumeration date
02/17/2021
Last updated
02/17/2021
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