Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter |
NPI | 1619142171 |
---|---|
Provider Name | Roselyn Gail Ropel |
First Address | Medford, OR 97501-0019 |
Second Address | Medford, OR 97504-8383 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2008 |
Last Update Date | 25/04/2008 |