Judd, Nicole Marie

Judd, Nicole Marie is an individual health care provider with primary practice located at 2901 E Burnside St , Portland OR 97214. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Judd, Nicole Marie can be contacted via phone (503) 238-5203.

Contact Information

Primary practice address
2901 E Burnside St Portland OR 97214
Phone: (503) 238-5203
Fax: (503) 445-0120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1598190290
LBN Legal business name Judd, Nicole Marie
Credentials MA, MA, PSS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2013
Last updated Jul 17th, 2018 - about 7 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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