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1366724171
RUTHANNE FACKLER
PORTLAND, OR
NPI
1366724171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: OR 090000326RN)
Enumeration Date
2011-09-16
Last Update Date
2011-09-16
Business Address
-- RUTHANNE FACKLER RN
412 SW 12TH AVE
PORTLAND, OR 97205-2329
Phone number: 503-228-7134
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Mailing Address
-- RUTHANNE FACKLER RN
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-200-3923
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