Provider Demographics
NPI:1245426147
Name:RADUTIU, ANCUTA LAVINIA (RN)
Entity type:Individual
Prefix:MRS
First Name:ANCUTA
Middle Name:LAVINIA
Last Name:RADUTIU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:LAVINIA-ANCUTA
Other - Middle Name:
Other - Last Name:RADUTIU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:16049 SE PEACE CT
Mailing Address - Street 2:
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-4211
Mailing Address - Country:US
Mailing Address - Phone:503-422-2595
Mailing Address - Fax:
Practice Address - Street 1:16049 SE PEACE CT
Practice Address - Street 2:
Practice Address - City:HAPPY VALLEY
Practice Address - State:OR
Practice Address - Zip Code:97086-4211
Practice Address - Country:US
Practice Address - Phone:503-422-2595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health