Ardiles, Jason Alberto

Ardiles, Jason Alberto is an individual health care provider with primary practice located at 5105 Se Hawthorne Blvd , Portland OR 97215-3301. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Ardiles, Jason Alberto can be contacted via phone (503) 308-1479.

Contact Information

Primary practice address
5105 Se Hawthorne Blvd Portland OR 97215-3301
Phone: (503) 308-1479
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 25004 Oregon

Profile Details

NPI number 1588219943
LBN Legal business name Ardiles, Jason Alberto
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2019
Last updated Aug 2nd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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