Provider Demographics
NPI:1801686381
Name:UDALL, HOPE FRANCES (LMT)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:FRANCES
Last Name:UDALL
Suffix:
Gender:
Credentials:LMT
Other - Prefix:
Other - First Name:HOPE
Other - Middle Name:FRANCES-UDALL
Other - Last Name:GOUDIABY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMT
Mailing Address - Street 1:8122 NE WYGANT ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97218-4154
Mailing Address - Country:US
Mailing Address - Phone:971-292-8082
Mailing Address - Fax:
Practice Address - Street 1:237 NE BROADWAY ST STE 245
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-1128
Practice Address - Country:US
Practice Address - Phone:503-432-1061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR28758225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist