Individual
ROGER DONALD RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
17 HAMLET ST, PORT ORFORD, OR 97465-9578
(360) 820-3553
Mailing address
17 HAMLET ST, PORT ORFORD, OR 97465-9578
(360) 820-3553
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
201041646RN
OR
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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