Hudson, Jacolyn

Hudson, Jacolyn is an individual health care provider with primary practice located at 2213 Country Club Rd , Woodburn OR 97071-2811. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is her primary health care specialty. Hudson, Jacolyn can be contacted via phone (503) 982-4200.

Contact Information

Primary practice address
2213 Country Club Rd Woodburn OR 97071-2811
Phone: (503) 982-4200
Fax: (503) 981-2323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 348446 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 348446 Oregon

Profile Details

NPI number 1639540149
LBN Legal business name Hudson, Jacolyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2015
Last updated Mar 2nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639540149 NPPES
Oregon MEDICAID 500647838

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