JEFFERY WARILA

PORTLAND, OR
NPI1023497526
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224P00000X Prosthetist
Additional Taxonomies222Z00000X Orthotist
Enumeration Date2015-05-29
Last Update Date2015-05-29
Business Address
-- JEFFERY WARILA CPO
17316 NE HALSEY ST
PORTLAND, OR 97230-6026
Phone number: 503-257-6623
Mailing Address
-- JEFFERY WARILA CPO
17316 NE HALSEY ST
PORTLAND, OR 97230-6026
Phone number: 503-257-6623