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MR. GLEN RUDERMAN
NPI 1184481889
Counselor - Mental Health in Springfield, OR

Active since February 29, 2024
1705 CENTENNIAL BLVD STE 2, SPRINGFIELD, OR 97477(541) 818-0009 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Glen Ruderman NPPES

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

MR. GLEN RUDERMAN (NPI 1184481889) is an individual mental health provider in Springfield, Oregon, licensed in Oregon (R9085) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1184481889
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. GLEN RUDERMAN
Location Address1705 CENTENNIAL BLVD STE 2Springfield, OR 97477-3320
Mailing Address1705 Centennial Blvd Ste 2Springfield, OR 97477-3320
Phone(541) 818-0009
Sole ProprietorYes
Enumeration DateFebruary 29, 2024
Last NPPES UpdateApril 26, 2024
NPPES CertifiedApril 26, 2024
✔ NPI 1184481889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · R9085
1705 CENTENNIAL BLVD STE 2, Springfield, OR 97477
Open in Google Maps ↗

Other Providers at the Same Location NPPES 11

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

ROBERT MOUNTAINSPRING-WOOD
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009
OREGON DIRECTIONS, LLC
Counselor (Professional)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009
ANDREA DAWN DAVENPORT LPC
Counselor (Professional)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009
OREGON DIRECTIONS, LLC
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (970) 962-4819
JASON LAMB
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (458) 818-0009
MISS BRIDGET ANNE DEDELOW
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009
CODIE WILSON
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009
TAYLOR CHARLES VAN RYSSELBERGHE
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009

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 Glen Ruderman's NPI number?

The NPI number for Glen Ruderman is 1184481889. It was assigned to this individual provider in the NPPES registry on February 29, 2024.

Where is Glen Ruderman located?

Glen Ruderman practices at 1705 Centennial Blvd Ste 2, Springfield, OR 97477. The listed phone number is (541) 818-0009.

What is Glen Ruderman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Glen Ruderman was last updated on April 26, 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.