Individual provider · Type 1 NPI

Jason Fortuno Villareal, PT

Specialist · Coos Bay, OR

NPI number 1639185168 Active

Practice location

1740 Thompson Rd
Coos Bay, OR 97420-2151

Call (541) 266-3658 Map

Mailing address

2808 E Burnside St
Portland, OR 97214-1830

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPT32980 (CA)

Specialist: 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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About NPI 1639185168

Jason Fortuno Villareal, PT's National Provider Identifier is 1639185168, issued on Aug 1, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Coos Bay, OR. The record was last updated on Jul 7, 2016.