Individual
MRS. RUTH M. FENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
311 MAPLE STREET, RIDDLE, OR 97469
(541) 874-3097
Mailing address
PO BOX 672, RIDDLE, OR 97469-0672
(541) 874-3097
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
066023542RN
OR
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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