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MR. VERNON SANTOS TIONQUIAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MOT

Contact information

Practice address
319 NE RUSSET STREET, PORTLAND, OR 97211
(971) 206-5200
Mailing address
4560 SE INTERNATIONAL WAY, SUITE 100, MILWAUKIE, OR 97222
(971) 206-5200

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
254952
OR

Other

Enumeration date
08/17/2009
Last updated
08/17/2009
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