HENRY R RIVAS

PORTLAND, OR
NPI1194780353
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  MD14654)
Enumeration Date2006-04-19
Last Update Date2007-07-08
Business Address
-- HENRY R RIVAS MD
11510 SE STARK ST
PORTLAND, OR 97216-3356
Phone number: 503-256-0636
Mailing Address
-- HENRY R RIVAS MD
PO BOX 92900
PORTLAND, OR 97292-0900
Phone number: