Ruthanne Fackler, RN Valid NPI
Individual provider · Psychiatric/Mental Health Registered Nurse · Portland, OR
- NPI
- 1366724171
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse (Registered Nurse)
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 163WP0808X
- License number
- 090000326RN (OR)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-09-16
- Last updated
- 2011-09-16
Practice location
412 Sw 12th Ave
Portland, OR 97205-2329
(503) 228-7134