Provider Demographics
NPI:1073846499
Name:HUDSON, MEREDITH H (ND)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:H
Last Name:HUDSON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19300 SW BOONES FERRY ROAD STE #3A
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062
Mailing Address - Country:US
Mailing Address - Phone:503-692-1110
Mailing Address - Fax:503-692-1115
Practice Address - Street 1:19300 SW BOONES FERRY ROAD STE #3A
Practice Address - Street 2:
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062
Practice Address - Country:US
Practice Address - Phone:503-692-1110
Practice Address - Fax:503-692-1115
Is Sole Proprietor?:No
Enumeration Date:2009-09-16
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR085073160RN163W00000X
OR1634175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No163W00000XNursing Service ProvidersRegistered Nurse