Rudoff, Joanne
Rudoff, Joanne is an individual health care provider with primary practice located at 6475 Sw Borland Rd Suite L, Tualatin OR 97062-9708. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Rudoff, Joanne can be contacted via phone (503) 885-0164.Contact Information
Primary practice address
6475 Sw Borland Rd Suite L
Tualatin OR 97062-9708
Phone: (503) 885-0164
Fax: (503) 885-9033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD16119 | Oregon |
Profile Details
| NPI number | 1497746606 |
|---|---|
| LBN Legal business name | Rudoff, Joanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497746606 | NPPES |
| Oregon | MEDICAID | 086066 |
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