Individual
MR. ERIC THOR RASDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
3206 ONYX AVE, KLAMATH FALLS, OR 97603-7279
(541) 891-0194
Mailing address
3206 ONYX AVE, KLAMATH FALLS, OR 97603-7279
(541) 891-0194
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000107296
OR
247200000X
Other Technician
—
—
Other
Enumeration date
02/18/2021
Last updated
11/17/2023
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