SALLY FOSTER RUDOLPH

PORTLAND, OR
NPI1780984930
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2010-10-21
Last Update Date2010-10-21
Business Address
SALLY FOSTER RUDOLPH MA
1500 NE IRVING ST SUITE 250
PORTLAND, OR 97232-2243
Phone number: 503-258-4200
Mailing Address
SALLY FOSTER RUDOLPH MA
4628 SE 47TH AVE
PORTLAND, OR 97206-4136
Phone number: 774-836-7321