Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Glen Ruderman

Individual provider Mental Health Counselor · NPI 1184481889

Mr. Glen Ruderman is a Mental Health Counselor in Springfield, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

1705 Centennial Blvd Ste 2
Springfield, OR 97477-3320
Phone: (541) 818-0009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence R9085 (OR)

Record details

NPI number1184481889
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 29, 2024
Last updated in NPPESApril 26, 2024
Certification dateApril 26, 2024
Mailing address1705 Centennial Blvd Ste 2, Springfield, OR 97477-3320

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