Individual
DR. ANITA RUFFINO HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
610 NW 11TH ST STE E33, HERMISTON, OR 97838-6601
(541) 667-3740
(541) 303-8743
Mailing address
620 NW 11TH ST STE M102, HERMISTON, OR 97838-6941
(541) 667-3740
(541) 303-8743
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD211746
OR
208000000X
Pediatrics Physician
R3N75
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209982214
—
MO
05
—
500809480
—
OR
Enumeration date
01/17/2006
Last updated
03/13/2024
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