Provider Demographics
NPI:1255640421
Name:HUDSON, PATRICIA FINALDI (MS, CRC)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:FINALDI
Last Name:HUDSON
Suffix:
Gender:F
Credentials:MS, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 MCNARY ESTATES DR N
Mailing Address - Street 2:SUITE D
Mailing Address - City:KEIZER
Mailing Address - State:OR
Mailing Address - Zip Code:97303-7488
Mailing Address - Country:US
Mailing Address - Phone:503-588-0777
Mailing Address - Fax:503-214-2654
Practice Address - Street 1:113 MCNARY ESTATES DR N
Practice Address - Street 2:SUITE D
Practice Address - City:KEIZER
Practice Address - State:OR
Practice Address - Zip Code:97303-7488
Practice Address - Country:US
Practice Address - Phone:503-588-0777
Practice Address - Fax:503-214-2654
Is Sole Proprietor?:No
Enumeration Date:2010-10-05
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC2659101YM0800X
00097822101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
00097822OtherCERTIFIED REHABILITATION COUNSELOR