Individual
RONDA SUE LAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
1820 SW VERMONT ST, SUITE A, PORTLAND, OR 97219-1945
(503) 977-9838
(503) 977-9624
Mailing address
1820 SW VERMONT ST, SUITE A, PORTLAND, OR 97219-1945
(503) 977-9838
(503) 977-9624
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01205
OR
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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