Individual
BRENDA RASCZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3235 6TH ST, COLUMBIA CITY, OR 97018-9703
(971) 219-7722
Mailing address
3235 6TH ST, COLUMBIA CITY, OR 97018-9703
(971) 219-7722
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
200641571RN
OR
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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