Julie Catherine Rysenga
Ophthalmologist
1050 Sw 3rd Ave Suite 2200
Ontario
, Oregon 97914-2193
Julie Catherine Rysenga
Ophthalmologist
1050 Sw 3rd Ave Suite 2200
Ontario
, Oregon 97914-2193
(541) 889-4321
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Julie Catherine Rysenga
- 1050 Sw 3rd Ave Suite 2200
- Ontario, OR
- Zip : 97914-2193
- Fax : (541) 889-4321
- Phone : (541) 881-1300
Second Address
- Julie Catherine Rysenga
- 1050 Sw 3rd Ave Suite 2200
- Ontario, OR
- Zip : 97914-2193
- Fax : (541) 889-4321
- Phone : (541) 881-1300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 18740 | OR |
National Provider Identifier
| NPI | 1023082138 |
|---|---|
| Provider Name | Julie Catherine Rysenga |
| First Address | Ontario, OR 97914-2193 |
| Second Address | Ontario, OR 97914-2193 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/02/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 064472 | (05) | OR |
| BBMD2 | BLUE CROSS OF ID (01) | ID |
| F22269 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.