Provider Demographics
NPI:1154644565
Name:HUDSON, N DENISE (RN, CNS)
Entity Type:Individual
Prefix:
First Name:N
Middle Name:DENISE
Last Name:HUDSON
Suffix:
Gender:F
Credentials:RN, CNS
Other - Prefix:
Other - First Name:N
Other - Middle Name:DENISE
Other - Last Name:ROBERTS / HEDGPATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, CNS
Mailing Address - Street 1:PO BOX 4399
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-4399
Mailing Address - Country:US
Mailing Address - Phone:503-413-3900
Mailing Address - Fax:503-413-2735
Practice Address - Street 1:2800 N VANCOUVER AVE
Practice Address - Street 2:SUITE 231
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97227-1630
Practice Address - Country:US
Practice Address - Phone:503-413-2750
Practice Address - Fax:503-413-2735
Is Sole Proprietor?:No
Enumeration Date:2010-03-12
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR000030087RN163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR200270006OtherCNS
OR000030087RNOtherOREGON LICENSE