Provider Demographics
NPI:1730628090
Name:WHERLAND, RUTH HADAS
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:HADAS
Last Name:WHERLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 WASHINGTON ST
Mailing Address - Street 2:UNIT 21
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2878
Mailing Address - Country:US
Mailing Address - Phone:971-263-0747
Mailing Address - Fax:
Practice Address - Street 1:875 WASHINGTON ST
Practice Address - Street 2:UNIT 21
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2878
Practice Address - Country:US
Practice Address - Phone:971-263-0747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-20
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC179689171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist