NPI 1003258344

Jessica a Dudley, FNP

Practitioner Family Nurse Practitioner Portland, OR

Practice location

Address: 3550 N Interstate Ave, Portland, OR 97227-1196
Phone: (503) 746-1575

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 201393181NP-PP (OR)

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Registry record

NPI: 1003258344
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jul 2013
Record last updated: 24 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.