SALLY FOSTER RUDOLPH MA NPI 1780984930

NPI Information

NPI: 1780984930
Provider Name: SALLY FOSTER RUDOLPH, MA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1500 NE IRVING ST
SUITE 250
PORTLAND, OR
ZIP 97232
Phone: (503) 258-4200
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Sally Foster Rudolph, MA is a mental health counselor in Portland, OR. Sally Foster Rudolph, MA NPI is 1780984930. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1500 NE IRVING ST
SUITE 250
PORTLAND, OR
ZIP 97232-243
Phone: (503) 258-4200

The enumeration date for this NPI number is 10/21/2010 and was last updated on 10/21/2010.

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
1	101YM0800X	Counselor	Mental Health			Yes

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: 11/14/2023

NPI Synchronization or Removal

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