GLEN RUDERMAN

SPRINGFIELD, OR
NPI1184481889
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: OR  R9085)
Enumeration Date2024-02-29
Last Update Date2024-04-26
Business Address
MR. GLEN RUDERMAN
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477-3320
Phone number: 541-818-0009
Mailing Address
MR. GLEN RUDERMAN
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477-3320
Phone number: