Lacey M Hudson
Dental Assistant
600 Ne 8th St Ste 300
Gresham
, Oregon 97030-7318
Lacey M Hudson
Dental Assistant
600 Ne 8th St Ste 300
Gresham
, Oregon 97030-7318
(503) 907-4233
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Lacey M Hudson
- 1450 Sw 31st St
- Gresham, OR
- Zip : 97080-9610
- Phone : (503) 907-4233
Second Address
- Lacey M Hudson
- 600 Ne 8th St Ste 300
- Gresham, OR
- Zip : 97030-7318
- Phone : (503) 907-4233
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 123433 | OR |
National Provider Identifier
| NPI | 1174140511 |
|---|---|
| Provider Name | Lacey M Hudson |
| First Address | Gresham, OR 97080-9610 |
| Second Address | Gresham, OR 97030-7318 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2020 |
| Last Update Date | 01/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.