Dr Kelsey Marie Hudson, DC | |
4000 Kruse Way Pl Ste 3-245, Lake Oswego, OR 97035-5598 | |
(503) 305-7244 | |
Not Available |
Full Name | Dr Kelsey Marie Hudson |
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Gender | Female |
Speciality | Chiropractor |
Location | 4000 Kruse Way Pl Ste 3-245, Lake Oswego, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649732140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5955 (Oregon) | Primary |
Provider Name | Portland Sports And Injury Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558586578 PECOS PAC ID: 9830265081 Enrollment ID: O20080911000571 |
Mailing Address | Practice Location Address |
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Dr Kelsey Marie Hudson, DC 4000 Kruse Way Pl Ste 3-245, Lake Oswego, OR 97035-5598 Ph: (503) 305-7244 | Dr Kelsey Marie Hudson, DC 4000 Kruse Way Pl Ste 3-245, Lake Oswego, OR 97035-5598 Ph: (503) 305-7244 |
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