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Individual

DR. RHONDA MCMULLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, FNP-C

Contact information

Practice address
1606 SOMERA DR, FOREST GROVE, OR 97116-1326
(503) 887-5520
Mailing address
1606 SOMERA DR, FOREST GROVE, OR 97116-1326
(503) 887-5520

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201709504NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201709504NP-PP
OREGON NP LICENSE
OR
Enumeration date
12/14/2017
Last updated
06/16/2018
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