Provider Demographics
NPI:1710747977
Name:COMBS, RHONDA LINNET
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:LINNET
Last Name:COMBS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 SE 106TH AVE APT C
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97216-3172
Mailing Address - Country:US
Mailing Address - Phone:503-789-3197
Mailing Address - Fax:
Practice Address - Street 1:1011 SE 106TH AVE APT C
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97216-3172
Practice Address - Country:US
Practice Address - Phone:503-789-3197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR374J00000X
OR5502374J00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula