JOHN RUDOFF M.D. NPI 1043291024

NPI Information

  • NPI: 1043291024
  • Provider Name: JOHN RUDOFF, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 6475 SW BORLAND RD
    TUALATIN, OR
    ZIP 97062
  • Phone: (503) 238-8333

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NPI Details

John Rudoff, M.D. is a specialist in Tualatin, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. John Rudoff, M.D. NPI is 1043291024. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6475 SW BORLAND RD
TUALATIN, OR
ZIP 97062-708
Phone: (503) 238-8333
Fax: (503) 885-9033

The enumeration date for this NPI number is 11/8/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistMD16036OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C67726MEDICARE UPINOREGON
2099861MEDICAIDOREGON
3R0000BKXBYMEDICARE ID-TYPE UNSPECIFIEDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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