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Individual

MR. JAMES R. DUDDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
4445 SW BARBUR BLVD, STE 104, PORTLAND, OR 97239-4047
(503) 226-4500
Mailing address
3604 NE 64TH AVE, PORTLAND, OR 97213-4412
(503) 819-9302

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15492
OR

Other

Enumeration date
10/29/2008
Last updated
04/20/2010
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