Provider Demographics
NPI:1245292093
Name:RINELLA, FRANK JOSEPH III (DO)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:JOSEPH
Last Name:RINELLA
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 JUNE ST STE 102
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-1516
Mailing Address - Country:US
Mailing Address - Phone:541-386-3883
Mailing Address - Fax:
Practice Address - Street 1:1021 JUNE ST STE 102
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-1516
Practice Address - Country:US
Practice Address - Phone:541-386-3883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR28810207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP00382202OtherPTAN
WA503836Medicare Oscar/Certification
WAP00382202OtherPTAN
WA503835Medicare Oscar/Certification