Ruth M. Fenton, RN
Individual provider Active NPI Registered Nurse · Riddle, OR
NPI 1558518142 · NPPES record last updated Aug 26, 2008
Key facts
- NPI
- 1558518142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 066023542RN (OR)
- Practice address
- 311 Maple Street
Riddle, OR 97469 - Phone
- (541) 874-3097
- NPI assigned
- Aug 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 066023542RN | OR | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 066023542RN | OR | Yes |
Addresses
Primary practice location
311 Maple Street
Riddle, OR 97469
Mailing address
PO Box 672
Riddle, OR 97469-0672
Phone (541) 874-3097
Other providers in Riddle, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.