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Individual

JOANNE RUDOFF

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6475 SW BORLAND RD, SUITE L, TUALATIN, OR 97062-9708
(503) 885-0164
(503) 885-9033
Mailing address
6475 SW BORLAND RD, SUITE L, TUALATIN, OR 97062-9708
(503) 885-0164
(503) 885-9033

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD16119
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
086066
OR
Enumeration date
11/04/2005
Last updated
07/08/2007
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