NPI 1174140511

Lacey M Hudson

Practitioner Dental Assistant Gresham, OR

Practice location

Address: 600 NE 8th St STE 300, Gresham, OR 97030-7318
Phone: (503) 907-4233
Mailing address: 1450 SW 31st St, Gresham, OR 97080-9610

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 123433 (OR)

Other Dental Assistant providers in Oregon →

Registry record

NPI: 1174140511
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jul 2020
Record last updated: 1 Jul 2020

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.