Individual
RODNEY R GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2700 SE STRATUS AVE, STE. 406, MCMINNVILLE, OR 97128-6255
(503) 435-1200
(503) 434-9572
Mailing address
2222 NW LOVEJOY ST, STE. 606, PORTLAND, OR 97210-3093
(502) 229-7554
(503) 274-5400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01228
OR
363A00000X
Physician Assistant
PA10000432
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500605531
—
OR
Enumeration date
06/07/2006
Last updated
02/09/2012
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