Individual
IAN-PHILIP ROJAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2000 SE CENTURY BLVD RM N130, HILLSBORO, OR 97123-8390
(503) 844-1849
Mailing address
12208 NW BARNES RD APT 224, PORTLAND, OR 97229-6024
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10185047
OR
Other
Enumeration date
02/03/2017
Last updated
03/17/2018
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