Individual
JOHN RUDOFF
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6475 SW BORLAND RD, TUALATIN, OR 97062-9708
(503) 238-8333
(503) 885-9033
Mailing address
6475 SW BORLAND RD, TUALATIN, OR 97062-9708
(503) 238-8333
(503) 885-9033
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD16036
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099861
—
OR
Enumeration date
11/08/2005
Last updated
07/08/2007
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