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1386038875
WARREN RUDD
PORTLAND, OR
NPI
1386038875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-03-24
Last Update Date
2015-03-24
Business Address
-- WARREN RUDD
3716 NE MLK JR BLVD
PORTLAND, OR 97212-1111
Phone number: 503-288-8066
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Mailing Address
-- WARREN RUDD
3716 NE MLK JR BLVD
PORTLAND, OR 97212
Phone number: 503-288-8066
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