Search › Oregon › 101YA0400X
Desiree Rudder, LMT,CADC I
NPI 1568779916 · on the registry since 2010 · sole proprietor
Practice
- Address
- 2111 Front St Ne Ste 3-101
Salem, OR 97301 - Phone
- (503) 508-7868
- Clinicians at this address
- 5
Additional practice sites
- 380 E Jefferson St, Stayton, OR
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 172M00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-24
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