GIL ILUSTRE JAVELOSA

BEAVERTON, OR
NPI1891075560
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  6443)
Enumeration Date2011-08-25
Last Update Date2011-08-25
Business Address
Mr. GIL ILUSTRE JAVELOSA PT
1516 SW TYRONE TER
BEAVERTON, OR 97006-2671
Phone number: 503-880-0306
Mailing Address
Mr. GIL ILUSTRE JAVELOSA PT
1516 SW TYRONE TER
BEAVERTON, OR 97006-2671
Phone number: