Individual
JOEL SOTO ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6125 NE CORNELL RD STE 390, HILLSBORO, OR 97124-5417
(503) 530-8517
Mailing address
6125 NE CORNELL RD STE 390, HILLSBORO, OR 97124-5417
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22221
OR
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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