Individual
JILL FAE GAGE RODOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
151 W 7TH AVE STE 210, EUGENE, OR 97401-2676
(541) 731-2657
Mailing address
151 W 7TH AVE STE 210, EUGENE, OR 97401-2676
(541) 731-2657
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
201141945RN
OR
Other
Enumeration date
12/28/2011
Last updated
08/07/2019
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