Individual
RICARDO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1750 WILCO RD, STAYTON, OR 97383-1085
(503) 769-7131
(503) 769-7132
Mailing address
685 36TH AVE NE, SALEM, OR 97301-4741
(503) 371-8860
(503) 371-8772
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63948
OR
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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