RUTHANNE FACKLER, RN

Registered Nurse - Psychiatric/Mental Health

Active Individual
NPI: 1366724171

Practice Address

412 SW 12TH AVE
Portland, OR 97205

Phone: (503) 228-7134

Specialties

Specialty Code Primary License
Registered Nurse - Psychiatric/Mental Health 163WP0808X Yes 090000326RN (OR)

Frequently Asked Questions

NPI 1366724171 is the National Provider Identifier for RUTHANNE FACKLER, RN, a Registered Nurse - Psychiatric/Mental Health provider located in Portland, OR. This NPI was enumerated on September 16, 2011.
RUTHANNE FACKLER, RN practices at 412 SW 12TH AVE, Portland, OR 97205.

Quick Facts

NPI
1366724171
Type
Individual
Enumerated
Sep 16, 2011
Last Updated
Sep 16, 2011

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