RUTHANNE FACKLER RN NPI 1366724171

NPI Information

NPI: 1366724171
Provider Name: RUTHANNE FACKLER, RN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
412 SW 12TH AVE
PORTLAND, OR
ZIP 97205
Phone: (503) 228-7134
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Ruthanne Fackler, RN is a psychiatric/mental health registered nurse in Portland, OR. Ruthanne Fackler, RN NPI is 1366724171. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

412 SW 12TH AVE
PORTLAND, OR
ZIP 97205-329
Phone: (503) 228-7134

The enumeration date for this NPI number is 9/16/2011 and was last updated on 9/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	090000326RN	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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