Individual
CANDACE M RUDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-3468
Mailing address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 969-8064
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
—
—
2279E0002X
Emergency Care Registered Respiratory Therapist
—
—
2279G1100X
General Care Registered Respiratory Therapist
—
—
2279P4000X
Patient Transport Registered Respiratory Therapist
—
—
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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