Deaustria, Ricardo M

Deaustria, Ricardo M is an sole proprietor health care provider with primary practice located at 2701 Nw Vaughn St Ste 154 , Portland OR 97210-5349. He recently has only one registered license in Other Service Providers / Mechanotherapist, which is considered as his primary health care specialty. Deaustria, Ricardo M can be contacted via phone (503) 719-4326.

Contact Information

Primary practice address
2701 Nw Vaughn St Ste 154 Portland OR 97210-5349
Phone: (503) 719-4326
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X 15490 Oregon

Profile Details

NPI number 1447495601
LBN Legal business name Deaustria, Ricardo M
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2008
Last updated Sep 25th, 2013 - about 12 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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