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DAVID KEVEN RUDDER
NPI 1174386783
Peer Specialist in Coos Bay, OR

Active since February 05, 2024
155 S EMPIRE BLVD, COOS BAY, OR 97420(541) 756-3111 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Keven Rudder NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID KEVEN RUDDER (NPI 1174386783) is an individual peer specialist in Coos Bay, Oregon and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1174386783
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameDAVID KEVEN RUDDER
Location Address155 S EMPIRE BLVDCoos Bay, OR 97420-3374
Mailing Address155 S Empire BlvdCoos Bay, OR 97420-3374
Phone(541) 756-3111
Sole ProprietorNo
Enumeration DateFebruary 5, 2024
NPPES CertifiedFebruary 5, 2024
✔ NPI 1174386783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
155 S EMPIRE BLVD, Coos Bay, OR 97420
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH SUSAN TUCKER CRM
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111
JASON ALLEN PAUL PSS, CRM
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111
WILLIAM TODD STONE CRM
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111
KASSIE LIBBETT
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 796-8437
KELLY MARIE HERZOG
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111
TASHA ANNE WALTER CADC 1, CRM, PSS
Counselor (Addiction (Substance Use Disorder))
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111
REBECCA JEAN ALLDRIDGE
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 500-6223
RONNI WALTZ PSS
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Rudder's NPI number?

The NPI number for David Rudder is 1174386783. It was assigned to this individual provider in the NPPES registry on February 5, 2024.

Where is David Rudder located?

David Rudder practices at 155 S Empire Blvd, Coos Bay, OR 97420. The listed phone number is (541) 756-3111.

What is David Rudder's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for David Rudder was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.