Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | MD22246 | OR |
NPI | 1053427666 |
---|---|
Provider Name | Dr. Norman Paul Hudson |
First Address | Eugene, OR 97401-6460 |
Second Address | Eugene, OR 97401-6460 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
130122 | (05) | OR |
804768000 | REGENCE BC/BS (01) | OR |
931252757 | ODS (01) | OR |
A123301 | PACIFICSOURCE INSURANCE (01) | |
D31376 | (02) | |
D31376 | PROVIDENCE INSURANCE (01) | OR |
FT7Z650 | HEALTHNET (01) | OR |