Kristen Ruckdashel

NPI #1114492931 in Enterprise, Oregon

Provider Information

NPI Number: 1114492931
Entity Type: Individual
Name: Kristen Ruckdashel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 8, 2018
Last Updated: Oct 8, 2018

Practice Location

Address: 603 MEDICAL PKWY
City: Enterprise
State: Oregon
ZIP Code: 97828-5124
Phone: (541) 426-4502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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