Individual
DR. LUCAS REIN RUDMIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3720 SW BOND AVE UNIT 2210, PORTLAND, OR 97239-4577
(971) 678-0618
Mailing address
3720 SW BOND AVE UNIT 2210, PORTLAND, OR 97239-4577
(971) 678-0618
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
FE150686
OR
286500000X
Military Hospital
—
OR
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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