Individual
GINA RUDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 W MAIN ST STE 102, MEDFORD, OR 97501-2746
(541) 507-6400
Mailing address
567 FAIRVIEW ST APT 1, ASHLAND, OR 97520-2969
(808) 638-1809
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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