Provider Demographics
NPI:1659622348
Name:POSTON, HUDSON (LAC)
Entity Type:Individual
Prefix:MS
First Name:HUDSON
Middle Name:
Last Name:POSTON
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7625 N OMAHA AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-6432
Mailing Address - Country:US
Mailing Address - Phone:503-553-9819
Mailing Address - Fax:
Practice Address - Street 1:2133 N WILLIS BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-6841
Practice Address - Country:US
Practice Address - Phone:503-553-9819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-21
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC01278171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist