Individual
ALICEA RUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 SE 76TH AVE, PORTLAND, OR 97215-1468
(503) 255-3198
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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