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

RAFAEL CISNEROS

Active Sole Proprietor

RAFAEL CISNEROS is a Occupational Therapist healthcare provider located in DALLAS, Oregon. NPI 1790343739 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · DALLAS, OR

Registration Details

NPI Number
1790343739
Provider Type
Individual
Gender
Male
NPI Issued
Jun 4, 2019 (7.1672110854095 yrs)
Last Updated
Jun 4, 2019
Licenses
2018026092 (MO)
CP000275A (OR)
Sole Proprietor
Yes

Practice Information

Address
377 NW JASPER ST
DALLAS, OR, 973381279
Browse OR providers · Browse ZIP 97338
Phone
9139531220
Primary Specialty
Occupational Therapist
225200000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in DALLAS, OR

Name Credential NPI
MRS. CINDY LEE NETH 1700400371
KAREN GAIL JACKSON 1871183202
MRS. BARBARA LYNNE HENDRICK PTA 1962259119
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.