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Contact Information

MONICA RUDESTAM
14936 3RD ST NE
AURORA, OR97002-9221
 Phone: 971-409-4049
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for MONICA RUDESTAM

NPI # 1235418625
LBN Legal business name MONICA RUDESTAM
Authorized official MONICA RUDESTAM - (SOLE PROPRIETOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/16/2011
Last updated 08/16/2011 - About 15 years ago
Identifiers
OR License # AC150554
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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