Doctor Name: | CHRISTY M RUMMEL |
NPI Number: | 1023292570 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 200750145NP |
Business Practice Address: | 1760 Sw 3rd St Corvallis, OR - 973331725 |
Business Phone Number: | 5412073773 |
Business Fax Number: | 8005491017 |
Mailing Address: | 1760 Sw 3rd St, CORVALLIS |
State: | OR |
Postal Code: | 973331725 |
Phone Number: | 5412073773 |
Fax Number: | 8005491017 |
NPI Enumeration Date: | 12/19/2007 |
NPI Last Update Date: | 09/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 200750145NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |