Provider Demographics
NPI:1679021026
Name:ETTINGER, RHONDA LYNN (BA, PSYCHOLOGY)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:LYNN
Last Name:ETTINGER
Suffix:
Gender:F
Credentials:BA, PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 534
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97448-0534
Mailing Address - Country:US
Mailing Address - Phone:541-952-4200
Mailing Address - Fax:
Practice Address - Street 1:24024 SCHULTZ RD
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:OR
Practice Address - Zip Code:97448-9207
Practice Address - Country:US
Practice Address - Phone:541-952-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other