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Individual

DR. EDWARD LESLIE RUDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7705 SE DIVISION ST, PORTLAND, OR 97206-1059
(503) 777-3311
Mailing address
7705 SE DIVISION ST, PORTLAND, OR 97206-1059
(503) 777-3311

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD00036789
WA
208000000X
Pediatrics Physician
Primary
MD21394
OR

Other

Enumeration date
08/21/2006
Last updated
07/10/2007
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