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Individual

DEIRDRE JANE RUNDLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3651 SE FRANCIS ST APT 104, PORTLAND, OR 97202-3586
(503) 300-1941
(503) 296-2959
Mailing address
3651 SE FRANCIS ST APT 104, PORTLAND, OR 97202-3586
(503) 300-1941
(503) 296-2959

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C6461
OR

Other

Enumeration date
06/26/2017
Last updated
05/08/2022
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