NPI 1164278651

Ian P Rubin, MA

Practitioner Health & Wellness Coach Portland, OR

Practice location

Address: 314 NE 19th Ave, Portland, OR 97232-2829
Phone: (503) 239-8181
Fax: (503) 548-4013

Registered specialties

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X

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Registry record

NPI: 1164278651
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Apr 2024
Record last updated: 9 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.