Individual
MR. RENE CHANGSUT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RKT
Contact information
Practice address
1007 E BURNSIDE, PORTLAND, OR 97214
(503) 762-1522
Mailing address
1841 SE 150TH AVENUE, PORTLAND, OR 97233
(503) 762-1522
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
1115
—
Other
Enumeration date
05/28/2006
Last updated
07/08/2007
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