Individual
MR. THOMAS G FREGOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. ATC
Contact information
Practice address
114 GILL COLISEUM, CORVALLIS, OR 97331-8547
(541) 737-4188
(541) 737-0864
Mailing address
1595 BOBCAT AVE SW, ALBANY, OR 97321-4868
(541) 230-0826
(541) 737-0864
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT-AT-365996
OR
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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