Individual
IVAN C AMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
10184 SE TALBERT ST, CLACKAMAS, OR 97015-8666
(206) 617-1523
Mailing address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
RT-P-10132099
OR
Other
Enumeration date
05/28/2010
Last updated
05/31/2010
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