Provider Demographics
NPI:1184992539
Name:RINNOVO INC.
Entity type:Organization
Organization Name:RINNOVO INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HALEY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:VILHAUER
Authorized Official - Suffix:
Authorized Official - Credentials:RD, CD
Authorized Official - Phone:360-573-5611
Mailing Address - Street 1:12504 NW 36TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-2227
Mailing Address - Country:US
Mailing Address - Phone:360-573-5611
Mailing Address - Fax:360-573-6508
Practice Address - Street 1:12504 NW 36TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98685-2227
Practice Address - Country:US
Practice Address - Phone:360-573-5611
Practice Address - Fax:360-573-6508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602336421174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty