Individual
MR. BRUCE RICHARD CASTILLO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
321 NE 126TH AVE, PORTLAND, OR 97230-2404
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
RTP000786
OR
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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