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Organization

DR BRAD S KAUDER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRADLEY SCOTT KAUDER PSY.D. (OWNER)
(541) 488-8988
Entity
Organization

Contact information

Practice address
739 N MAIN ST, ASHLAND, OR 97520-1752
(541) 488-8988
(541) 488-7977
Mailing address
PO BOX 873, ASHLAND, OR 97520-0030
(541) 488-8988
(541) 488-7977

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1537
OR
103TC0700X
Clinical Psychologist
1537
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
182024
OR
Enumeration date
01/17/2007
Last updated
07/08/2013
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