Individual
RHONDA MARIE NIENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 SW TAYLOR ST, PORTLAND, OR 97205-2503
(503) 228-2154
Mailing address
925 SW TAYLOR ST, PORTLAND, OR 97205-2503
(503) 228-2154
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
08/09/2008
Last updated
08/09/2008
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