Provider Demographics
NPI:1558148098
Name:ROHDE, SONJA C (RN, MSN)
Entity Type:Individual
Prefix:MRS
First Name:SONJA
Middle Name:C
Last Name:ROHDE
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20777 KILBOURNE LOOP
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-7240
Mailing Address - Country:US
Mailing Address - Phone:415-640-7797
Mailing Address - Fax:
Practice Address - Street 1:20777 KILBOURNE LOOP
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-7240
Practice Address - Country:US
Practice Address - Phone:415-640-7797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA510883163WN1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN1003XNursing Service ProvidersRegistered NurseNutrition Support