RICARDO M DEAUSTRIA

PORTLAND, OR
NPI1447495601
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: OR  15490)
Enumeration Date2008-12-02
Last Update Date2013-09-25
Business Address
Mr. RICARDO M DEAUSTRIA LMT
2701 NW VAUGHN ST STE 154
PORTLAND, OR 97210-5349
Phone number: 503-719-4326
Mailing Address
Mr. RICARDO M DEAUSTRIA LMT
2701 NW VAUGHN ST STE 154
PORTLAND, OR 97210-5349
Phone number: 503-719-4326
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