Provider Demographics
NPI:1982038600
Name:RODRIGUEZ, APRIL STARR
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:STARR
Last Name:RODRIGUEZ
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 1:5225 MAC ST SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97306-2842
Mailing Address - Country:US
Mailing Address - Phone:503-798-3403
Mailing Address - Fax:
Practice Address - Street 1:5225 MAC ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97306-2842
Practice Address - Country:US
Practice Address - Phone:503-798-3403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst