Individual
RODRIGO CASTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
125 LANCASTER DR. NE, SALEM, OR 97301-4104
(971) 388-7725
Mailing address
125 LANCASTER DR NE, SALEM, OR 97301-5110
(971) 388-7725
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
10150616
OR
Other
Enumeration date
11/18/2014
Last updated
10/18/2016
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