Ms. Jessica A Dudley
Nurse Practitioner - Family Medicine
3550 N Interstate Ave
Portland
, Oregon 97227-1196
Ms. Jessica A Dudley
Nurse Practitioner - Family Medicine
3550 N Interstate Ave
Portland
, Oregon 97227-1196
(503) 746-1575
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Ms. Jessica A Dudley
- 3550 N Interstate Ave
- Portland, OR
- Zip : 97227-1196
- Phone : (503) 746-1575
Second Address
- Ms. Jessica A Dudley
- 3550 N Interstate Ave
- Portland, OR
- Zip : 97227-1196
- Phone : (503) 746-1575
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 201393181NP-PP | OR |
National Provider Identifier
| NPI | 1003258344 |
|---|---|
| Provider Name | Ms. Jessica A Dudley |
| First Address | Portland, OR 97227-1196 |
| Second Address | Portland, OR 97227-1196 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2013 |
| Last Update Date | 24/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2036033 | (05) | WA |
| 500664845 | (05) | OR |
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.