Individual
CYNTHIA D RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3680 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 754-1150
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2005501697NP FNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005745
—
OR
Enumeration date
05/15/2006
Last updated
06/05/2009
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