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NPI Code Detail

MEDICARE: AARON TRUDEL

MEDICARE: AARON TRUDEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramOR

General Provider Information

NPI Number : 1679408645
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON TRUDEL
Provider Business Mailing Address
First Line : 60826 SCOTTS BLUFF PL
Second Line :
City : BEND
State : OR
Zip : 97702-2981
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 60575 BILLADEAU RD
Second Line :
City : BEND
State : OR
Zip : 97702-9338
Country : US
Telephone Number : 541-389-1848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2026
Last Update Date : 06/12/2026

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Directions to “ AARON TRUDEL ” Practice Location

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