Search › Oregon › 101YM0800X
Raina Wickham
NPI 1457686073 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1229 Main Street, Suite 105
Philomath, OR 97370 - Phone
- (541) 609-1305
- Fax
- (541) 714-3770
- Organisation at this address
- Ronnie Hansen Therapy Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YA0400X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon