Rudin, Marilyn L

Rudin, Marilyn L is an individual health care provider with primary practice located at 19250 Sw 65Th Ave Suite 135, Tualatin OR 97062-7452. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Rudin, Marilyn L can be contacted via phone (503) 692-8560.

Contact Information

Primary practice address
19250 Sw 65Th Ave Suite 135 Tualatin OR 97062-7452
Phone: (503) 692-8560
Fax: (503) 692-8562
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD09135 Oregon
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X MD09135 Oregon

Profile Details

NPI number 1922043801
LBN Legal business name Rudin, Marilyn L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Apr 20th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922043801 NPPES
Oregon MEDICAID 01797-0

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