Rudder, Desiree Forrest

Rudder, Desiree Forrest is an sole proprietor health care provider with primary practice located at 2111 Front St Ne Ste 3-101 , Salem OR 97301-0038. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Mechanotherapist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Rudder, Desiree Forrest can be contacted via phone (503) 508-7868.

Contact Information

Primary practice address
2111 Front St Ne Ste 3-101 Salem OR 97301-0038
Phone: (503) 508-7868
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X 14427 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 18-08-32 Oregon

Profile Details

NPI number 1568779916
LBN Legal business name Rudder, Desiree Forrest
Credentials LMT,CADC I
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2010
Last updated Jul 24th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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