Provider Demographics
NPI:1558488411
Name:OCLANDER, RUTH D (L AC)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:D
Last Name:OCLANDER
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:MRS
Other - First Name:DEBORAH
Other - Middle Name:RUTH
Other - Last Name:OCLANDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:L AC
Mailing Address - Street 1:3966 N OVERLOOK TER
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97227-1053
Mailing Address - Country:US
Mailing Address - Phone:503-287-4881
Mailing Address - Fax:
Practice Address - Street 1:917 SW OAK ST
Practice Address - Street 2:SUITE 207
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2829
Practice Address - Country:US
Practice Address - Phone:503-417-7884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist