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NPI Code Detail

MEDICARE: COLLIN KEIJO RHOTON

MEDICARE: COLLIN KEIJO RHOTON
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
1175T00000XPeer Specialist22-CRM-1335OR

General Provider Information

NPI Number : 1972203925
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLIN KEIJO RHOTON
Provider Business Mailing Address
First Line : PO BOX 1710
Second Line :
City : REDMOND
State : OR
Zip : 97756-0516
Country : US
Telephone Number : 541-516-4099
Fax Number : 541-316-7422
Provider Business Practice Location Address
First Line : 358 NE MARSHALL AVE
Second Line :
City : BEND
State : OR
Zip : 97701-4364
Country : US
Telephone Number : 541-550-1068
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2023
Last Update Date : 03/08/2023

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Directions to “ COLLIN KEIJO RHOTON ” Practice Location

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