Individual
JESSICA S RUEDIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDM, CPM, IBCLC
Contact information
Practice address
584 JAMES ST, TALENT, OR 97540-9764
(541) 621-6315
(888) 543-0682
Mailing address
584 JAMES ST, TALENT, OR 97540-9764
(541) 621-6315
(888) 453-0682
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
LC-LC-10258362
OR
176B00000X
Midwife
Primary
DEM-LD-10157698
OR
176B00000X
Midwife
Primary
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Other
Enumeration date
02/16/2012
Last updated
03/20/2026
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