Provider Demographics
NPI:1912290701
Name:HUDSON, SARAH J (DPM)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:J
Last Name:HUDSON
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:A
Other - Last Name:RINCKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:1680 CHAMBERS ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-3655
Mailing Address - Country:US
Mailing Address - Phone:541-683-3351
Mailing Address - Fax:541-683-6440
Practice Address - Street 1:1680 CHAMBERS ST
Practice Address - Street 2:SUITE 201
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-3655
Practice Address - Country:US
Practice Address - Phone:541-683-3351
Practice Address - Fax:541-683-6440
Is Sole Proprietor?:No
Enumeration Date:2011-05-26
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDP165201213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery