Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Thomas J Rudolph, PA-C

Individual provider Physician Assistant · NPI 1225365687

Thomas J Rudolph, PA-C is a Physician Assistant in Eugene, Oregon. Works from 2 locations. Licensed in Montana and Oregon.

Licensed in
MT, OR
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1800 Coburg Rd
Eugene, OR 97401-4995
Phone: (541) 345-8760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1700 Geary St Se, Albany, OR 97322-6842 — (541) 812-5500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA155998 (OR)
Physician Assistant Taxonomy 363A00000X · Licence 596 (MT)

Record details

NPI number1225365687
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 5, 2009
Last updated in NPPESNovember 11, 2020
Certification dateNovember 3, 2020

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