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Abraham Rodriguez

Community Health Worker in Corvallis, OR. Individual provider (NPI-1).

NPI number1497323950
StatusActive
Last updated in NPPESJun 11, 2021

Details

NPI
1497323950
Entity type
Individual (NPI-1)
Name
Abraham Rodriguez
Sex
Male
Sole proprietor
No
Enumeration date
Jun 11, 2021
Certification date
Jun 11, 2021
Last updated
Jun 11, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

530 Nw 27th St
Corvallis, OR 97330-5223

Phone 541-766-6835 · Fax 541-487-4076

Mailing address

835 Royalty Dr Ne
Salem, OR 97301-2589

Phone 971-701-7346

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