STACY MARIE RUDY

PORTLAND, OR
NPI1154713188
Former NameSTACY MARIE ABRAHAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA179627)
Enumeration Date2015-02-27
Last Update Date2020-11-18
Business Address
Mrs. STACY MARIE RUDY PA-C
6640 SW REDWOOD LN
PORTLAND, OR 97224-7187
Phone number: 503-620-7358
Mailing Address
Mrs. STACY MARIE RUDY PA-C
800 SW 13TH AVE
PORTLAND, OR 97205-1902
Phone number: 503-221-0161
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