Provider Demographics
NPI:1235384918
Name:PAUL J RUDINSKY, LMFT, LLC
Entity Type:Organization
Organization Name:PAUL J RUDINSKY, LMFT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:RUDINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, JD
Authorized Official - Phone:541-302-9229
Mailing Address - Street 1:86414 AINSLEY LN
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-9038
Mailing Address - Country:US
Mailing Address - Phone:541-302-9229
Mailing Address - Fax:541-338-0977
Practice Address - Street 1:1234 PEARL ST STE 3
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3642
Practice Address - Country:US
Practice Address - Phone:541-302-9229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORTO460305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization