| Doctor Name: | RONDA LYNN BABCOCK |
| NPI Number: | 1073640561 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | |
| Business Practice Address: | 2507 Christie Drive Lake Oswego, OR - 97034 |
| Business Phone Number: | 5036353416 |
| Business Fax Number: | 5036976932 |
| Mailing Address: | Po Box 368, MARYLHURST |
| State: | OR |
| Postal Code: | 970360368 |
| Phone Number: | 5036353416 |
| Fax Number: | 5036976932 |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |