Rudoff, John
Rudoff, John is an individual health care provider with primary practice located at 6475 Sw Borland Rd , Tualatin OR 97062-9708. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rudoff, John can be contacted via phone (503) 238-8333.Contact Information
Primary practice address
6475 Sw Borland Rd
Tualatin OR 97062-9708
Phone: (503) 238-8333
Fax: (503) 885-9033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD16036 | Oregon |
Profile Details
| NPI number | 1043291024 |
|---|---|
| LBN Legal business name | Rudoff, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 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 | 1043291024 | NPPES |
| Oregon | MEDICAID | 099861 |
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