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Thomas Rudisill
Family Nurse Practitioner in Salem, Oregon
NPI 1174283584

Thomas Rudisill is a Family Nurse Practitioner based in Salem, OR and is specialized in Family. Thomas Rudisill practices in Salem, OR. The NPI Number for Thomas Rudisill is 1174283584 and holds a License No. 202114701NP-PP (Oregon).

The current practice location address for Thomas Rudisill is 5050 Skyline Village Loop S, Salem, OR and can be reached out via phone at 503-391-1110.

Location: 5050 Skyline Village Loop S, Salem, OR, 97306-9490
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174283584
Provider Name
Thomas Rudisill
Credential
Provider Entity Type
Individual
Gender
Male
Address
5050 Skyline Village Loop S, Salem, OR, 97306-9490
Phone Number
503-391-1110
Fax Number
Provider Enumeration Date
12/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5050 Skyline Village Loop S
City
Salem
State
Oregon
Zip
97306-9490
Phone Number
503-391-1110
Fax Number
person
Provider Business Mailing Address Details
Address
5050 Skyline Village Loop S
City
Salem
State
Oregon
Zip
97306-9490
Phone Number
503-391-1110
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
202114701NP-PP (Oregon)
Definition
Definition to come...
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