MS. DESIREE FORREST RUDDER LMT,CADC I
NPI 1568779916
Counselor - Addiction (Substance Use Disorder) in Salem, OR

Q: What is Desiree Rudder's NPI number?

The NPI number for Desiree Rudder is 1568779916. It was assigned to this individual provider in the NPPES registry on September 7, 2010.

Q: What is Desiree Rudder's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Desiree Rudder was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 07, 2010

2111 FRONT ST NE STE 3-101, SALEM, OR 97301(503) 508-7868 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Desiree Forrest Rudder Lmt,cadc I NPPES

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

MS. DESIREE FORREST RUDDER LMT,CADC I (NPI 1568779916) is an individual addiction (substance use disorder) provider in Salem, Oregon, licensed in Oregon (18-08-32) and active in the NPI registry since September 2010. She maintains a secondary practice location in Stayton.

NPPES Registry Identity

NPI1568779916

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMS. DESIREE FORREST RUDDERCredential: LMT,CADC I

Location Address2111 FRONT ST NE STE 3-101Salem, OR 97301-0038

Mailing Address830 Saginaw St SSalem, OR 97302-4122 · (503) 503-7868

Phone(503) 508-7868

Sole ProprietorYes

Enumeration DateSeptember 7, 2010

Last NPPES UpdateJuly 24, 2019

✔ NPI 1568779916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OR · 18-08-32

Also ListedMechanotherapistTaxonomy 172M00000X · License 14427 (OR)

2111 FRONT ST NE STE 3-101, Salem, OR 97301

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Secondary Practice Location 1

Location 1380 E Jefferson StStayton, OR 97383-1855 · Phone (503) 363-2021

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 Desiree Rudder's NPI number?

The NPI number for Desiree Rudder is 1568779916. It was assigned to this individual provider in the NPPES registry on September 7, 2010.

Where is Desiree Rudder located?

Desiree Rudder practices at 2111 Front St NE Ste 3-101, Salem, OR 97301. The listed phone number is (503) 508-7868.

What is Desiree Rudder's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Desiree Rudder was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.