Most Relevant Information
Provider Data
| NPI Number: | 1003508573 |
| Provider Name: | KYRA RIANE RODAMER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/23/2023 |
| Last Updated: | 05/23/2023 |
Provider Practice Location
320 SW RAMSEY AVE
GRANTS PASS
OR
975275529
Practice Location Phone/Fax
| Phone: | 5414762373 |
| Fax: |
Provider Mailing Location
320 SW RAMSEY AVE
GRANTS PASS
OR
975275529
Provider Mailing Phone/Fax
| Phone: | 5414762373 |
| Fax: |