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Individual

JOSE F. RUEDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3314 SW US VETERANS HOSPITAL RD, PP262, PORTLAND, OR 97239-2940
(503) 494-8490
Mailing address
3314 SW US VETERANS HOSPITAL RD, PP262, PORTLAND, OR 97239-2940

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD25250
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
233047
OR
Enumeration date
07/31/2006
Last updated
07/11/2007
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