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Individual

MR. RHYAN GOMEZ GAMBOA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
4560 SE INTERNATIONAL WAY, SUITE 100, CONSONUS HEALTHCARE SERVICES, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5209
Mailing address
4560 SE INTERNATIONAL WAY, SUITE 100, CONSONUS HEALTHCARE SERVICES, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5209

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8947
CA

Other

Enumeration date
08/12/2008
Last updated
08/12/2008
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