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NPI Code Detail

MEDICARE: RODRIGO RAMIREZ-ESPINOSA PTA

MEDICARE:   RODRIGO  RAMIREZ-ESPINOSA  PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant10427OR

General Provider Information

NPI Number : 1578415105
Entity Type Code : Individual
Provider Name (Legal Business Name) : RODRIGO RAMIREZ-ESPINOSA PTA
Provider Business Mailing Address
First Line : 2209 NW EVERETT ST APT 208
Second Line :
City : PORTLAND
State : OR
Zip : 97210-5504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6010 SW SHATTUCK RD
Second Line :
City : PORTLAND
State : OR
Zip : 97221-1043
Country : US
Telephone Number : 503-246-8811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2026
Last Update Date : 02/14/2026

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Directions to “ RODRIGO RAMIREZ-ESPINOSA PTA” Practice Location

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