Individual
MR. GIL ILUSTRE JAVELOSA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1516 SW TYRONE TER, BEAVERTON, OR 97006-2671
(503) 880-0306
Mailing address
1516 SW TYRONE TER, BEAVERTON, OR 97006-2671
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6443
OR
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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