Individual
RUTH LONGSTROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
412 SW 8TH ST, REDMOND, OR 97756-2209
(541) 617-4775
(541) 617-4770
Mailing address
8572 W ANTLER AVE, REDMOND, OR 97756-9210
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
OR
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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