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Individual

DR. RUDOLPH HEUCHERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
11107 SE STANLEY AVE, MILWAUKIE, OR 97222-4454
(503) 252-9576
(593) 353-8267
Mailing address
11107 SE STANLEY AVE, MILWAUKIE, OR 97222-4454
(503) 252-9576
(593) 353-8267

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27-2391
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
230019
OR
Enumeration date
01/23/2007
Last updated
07/09/2007
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