Search › Oregon › 363A00000X
Thomas Rudolph, PA-C
NPI 1225365687 · on the registry since 2009
Practice
- Address
- 1800 Coburg Rd
Eugene, OR 97401 - Phone
- (541) 345-8760
- Organisation at this address
- Icco Llc
Icco, Llc
Icco, Llc
Icco, Llc
Icco, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Additional practice sites
- 1700 Geary St Se, Albany, OR
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- MT, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon