Hudson, Lacey M
Hudson, Lacey M is an individual health care provider with primary practice located at 600 Ne 8Th St Ste 300 , Gresham OR 97030-7318. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Hudson, Lacey M can be contacted via phone (503) 907-4233.Contact Information
Primary practice address
600 Ne 8Th St Ste 300
Gresham OR 97030-7318
Phone: (503) 907-4233
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 123433 | Oregon |
Profile Details
| NPI number | 1174140511 |
|---|---|
| LBN Legal business name | Hudson, Lacey M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2020 |
| Last updated | Jul 1st, 2020 - 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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