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NPI Code Detail

MEDICARE: R & R PRIMARY CARE ASSOCIATES, LLC

MEDICARE: R & R PRIMARY CARE ASSOCIATES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner201709504NP-PPOR

General Provider Information

NPI Number : 1861980476
Entity Type Code : Organization
Provider Name (Legal Business Name) : R & R PRIMARY CARE ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 2459 SE TV HWY # 165
Second Line :
City : HILLSBORO
State : OR
Zip : 97123-7919
Country : US
Telephone Number : 503-887-5520
Fax Number :
Provider Business Practice Location Address
First Line : 617 PALM ST
Second Line :
City : MEDFORD
State : OR
Zip : 97501-2536
Country : US
Telephone Number : 503-887-5520
Fax Number :
Authorized Official
Title or Position : CEO & FNP-C
Name : DR. RHONDA MCMULLIN
Credential : DNP, FNP-C
Telephone Number : 503-887-5520
Provider Enumeration Date : 04/30/2018
Last Update Date : 04/30/2018

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Directions to “R & R PRIMARY CARE ASSOCIATES, LLC ” Practice Location

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