Provider Demographics
NPI:1922345206
Name:PAIYA, RUTH TURLER (RN)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:TURLER
Last Name:PAIYA
Suffix:
Gender:F
Credentials:RN
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 1033
Mailing Address - Street 2:
Mailing Address - City:MADRAS
Mailing Address - State:OR
Mailing Address - Zip Code:97741-0134
Mailing Address - Country:US
Mailing Address - Phone:541-475-7721
Mailing Address - Fax:
Practice Address - Street 1:1125 NE LOWER DR
Practice Address - Street 2:
Practice Address - City:MADRAS
Practice Address - State:OR
Practice Address - Zip Code:97741-9053
Practice Address - Country:US
Practice Address - Phone:541-490-7721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR034532RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse