John Rudoff is a Specialist in Tualatin, Oregon. John Rudoff practices all healthcare services and medical treatments related to Specialist. The NPI Number for John Rudoff is 1043291024. The last update date is 2007-07-08.
John Rudoff's current location address is 6475 Sw Borland Rd, Tualatin, Oregon. You can contact this provider via phone number 5032388333 and fax number 5038859033. The mailing address for John Rudoff is 6475 Sw Borland Rd, Tualatin, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Rudoff |
|---|---|
| Address | 6475 Sw Borland Rd, Tualatin, Oregon |
| Phone Number | 5032388333 |
| Fax Number | 5038859033 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1043291024 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6475 Sw Borland Rd |
|---|---|
| City | Tualatin |
| State | Oregon (OR) |
| Post Code | 970629708 |
| Phone Number | 5032388333 |
| Fax Number | 5038859033 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD16036 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 99861 | OR | -- |
Post Comment/ Review Below
What is the John Rudoff's area of specialization and corresponding taxonomy classification?
The John Rudoff's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When did the John Rudoff receive its 1043291024?
The John Rudoff was issued its 1043291024 on 2005-11-08, which is the date when the organization was assigned this unique identifier.
On what date did the John Rudoff receive its 1043291024 assignment from the Centers for Medicare & Medicaid Services?
The John Rudoff was assigned its 1043291024 by the Centers for Medicare & Medicaid Services on 2005-11-08.
As of what date were the John Rudoff's details last updated?
The information pertaining to the John Rudoff, including its address, specialty, and other details, was most recently updated on 2007-07-08.
As of what date were the details related to John Rudoff most recently updated or revised?
The information pertaining to John Rudoff, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.