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Mr. Jason Fortuno Villareal, PT
Specialist in Coos Bay, Oregon
NPI 1639185168

Jason Fortuno Villareal is a Specialist based in Portland, OR. Jason Fortuno Villareal practices in Coos Bay, OR and has the professional credentials of PT. The NPI Number for Jason Fortuno Villareal is 1639185168 and holds a License No. PT32980 (Oregon).

The current practice location address for Jason Fortuno Villareal is 1740 Thompson Rd, Coos Bay, OR and can be reached out via phone at 541-266-3658.

Location: 1740 Thompson Rd, Coos Bay, OR, 97214-1830
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639185168
Provider Name
Jason Fortuno Villareal
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
1740 Thompson Rd, Coos Bay, OR, 97214-1830
Phone Number
541-266-3658
Fax Number
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1740 Thompson Rd
City
Coos Bay
State
Oregon
Zip
97420-2151
Phone Number
541-266-3658
Fax Number
person
Provider Business Mailing Address Details
Address
1740 Thompson Rd
City
Coos Bay
State
Oregon
Zip
97420-2151
Phone Number
541-266-3658
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT32980 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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