Individual
RACHEL FUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
301 RIDINGS AVE, MOLALLA, OR 97038-9201
(503) 829-5591
Mailing address
12274 SW PALERMO ST, WILSONVILLE, OR 97070-7244
(503) 329-8051
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201703355RN
OR
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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