Rudy, Nicole M

Rudy, Nicole M is an individual health care provider with primary practice located at 19250 Sw 65Th Ave Ste 300 , Tualatin OR 97062-7707. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Rudy, Nicole M can be contacted via phone (503) 692-1242.

Contact Information

Primary practice address
19250 Sw 65Th Ave Ste 300 Tualatin OR 97062-7707
Phone: (503) 692-1242
Fax: (503) 691-3615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 201707449NP-PP Oregon

Profile Details

NPI number 1023510161
LBN Legal business name Rudy, Nicole M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2018
Last updated Jan 28th, 2021 - about 4 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.

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