Individual
TIA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
890 OAK ST SE, SALEM, OR 97301-3905
(503) 561-5200
Mailing address
1060 BENTLEY ST E, MONMOUTH, OR 97361-9734
(503) 917-2279
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
200843473RN
OR
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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