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Individual

RAGNA C. ROSTAD-RUFFNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1890 NW 6TH ST, GRANTS PASS, OR 97526-1038
(541) 507-0684
Mailing address
1531 ESPLANADE, ATTN: FINANCE, CHICO, CA 95926-3310
(530) 332-7479
(530) 893-6853

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA219283
OR
363AM0700X
Medical Physician Assistant
PA19364
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA19364
PHYSICIAN ASSIST LICENSE
CA
Enumeration date
09/21/2007
Last updated
09/18/2024
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