Individual
MONICA RUDESTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
21358 HIGHWAY 99E NE, AURORA, OR 97002-9201
(971) 409-4049
Mailing address
PO BOX 115, AURORA, OR 97002-0115
(971) 409-4049
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC150554
OR
Other
Enumeration date
04/05/2010
Last updated
05/13/2016
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