Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1634 | OR |
NPI | 1073846499 |
---|---|
Provider Name | Dr. Meredith H Hudson |
First Address | Tualatin, OR 97062 |
Second Address | Tualatin, OR 97062 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2009 |
Last Update Date | 07/02/2012 |