Individual
MS. RUTH A GORDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1836 FREMONT ST, ASHLAND, OR 97520-2537
(541) 414-1720
Mailing address
1836 FREMONT ST, ASHLAND, OR 97520-2537
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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