Individual
ANGELA LUDTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2367 S ROOSEVELT DR # R, SEASIDE, OR 97138-6550
(971) 320-3161
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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