Individual
MR. IAN P RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
314 NE 19TH AVE, PORTLAND, OR 97232-2829
(503) 239-8181
(503) 548-4013
Mailing address
314 NE 19TH AVE, PORTLAND, OR 97232-2829
(503) 239-8181
(503) 548-4013
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
05/09/2024
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