Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor | 225C00000X | OR |
NPI | 1306297148 |
---|---|
Provider Name | Rhonda Schoenborn |
First Address | Portland, OR 97219-8051 |
Second Address | Portland, OR 97219-8051 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2016 |
Last Update Date | 22/06/2016 |