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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RICARDO M DEAUSTRIA JR., LMT

Active Sole Proprietor

MR. RICARDO M DEAUSTRIA JR., LMT is a Mechanotherapist healthcare provider located in PORTLAND, Oregon. NPI 1447495601 is currently active in the NPPES registry. Verify at CMS.

Mechanotherapist · PORTLAND, OR

Registration Details

NPI Number
1447495601
Provider Type
Individual
Gender
Male
NPI Issued
Dec 2, 2008 (17.716694235879 yrs)
Last Updated
Sep 25, 2013
License
15490 (OR)
Sole Proprietor
Yes

Practice Information

Address
2701 NW VAUGHN ST STE 154
PORTLAND, OR, 972105349
Browse OR providers · Browse ZIP 97210
Phone
5037194326
Primary Specialty
Mechanotherapist
172M00000X

Other Mechanotherapist Providers in PORTLAND, OR

Name Credential NPI
MRS. SARAH MARIE KITTLESON L.M.T. 1093931214
LORI ANDREA KRAMPEZ LMT 1154548725
VALERIE MARGARET LYON M.ED., L.M.T. 1760600514
MISS JENNIFER MARIE WOLJEVACH LMT 1467667303
ANGELEE NICOLE VANDRUFF LMT 1568664803
MS. KATHRYN ELIZABETH MAHAN LMT 1689876534
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.