Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | H2392 | OR |
NPI | 1033393368 |
---|---|
Provider Name | Renee L Rhuman |
First Address | Springfield, OR 97477-3413 |
Second Address | Springfield, OR 97477-3413 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2007 |
Last Update Date | 20/08/2013 |