Individual
WARREN RUDD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3716 NE MLK JR BLVD, PORTLAND, OR 97212-1111
(503) 288-8066
Mailing address
3716 NE MLK JR BLVD, PORTLAND, OR 97212
(503) 288-8066
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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