Mr William Timothy Dudley, NP-C | |
17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | |
(503) 303-4000 | |
Not Available |
Full Name | Mr William Timothy Dudley |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 17070 Se Mcloughlin Blvd, Milwaukie, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235502238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1-152900 (Alabama) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10010240 (Oregon) | Primary |
Entity Name | American Family Care, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669429080 PECOS PAC ID: 9739087818 Enrollment ID: O20031229000157 |
Entity Name | University Of South Alabama |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992746838 PECOS PAC ID: 3072425149 Enrollment ID: O20040115000773 |
Entity Name | Altapointe Health Systems Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518095413 PECOS PAC ID: 1052224052 Enrollment ID: O20040206000701 |
Entity Name | Usa Health Physician Billing Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720645468 PECOS PAC ID: 9931436912 Enrollment ID: O20190814000827 |
Mailing Address | Practice Location Address |
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Mr William Timothy Dudley, NP-C Po Box 8459, Portland, OR 97207-8459 Ph: (503) 238-0769 | Mr William Timothy Dudley, NP-C 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 Ph: (503) 303-4000 |
Mrs. Marla E. Stasik, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4560 Se International Way Ste 100, Milwaukie, OR 97222 Phone: 971-712-6863 | |
Sarah Fishbein, RN, BSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10330 Se 32nd Ave Ste 325, Milwaukie, OR 97222 Phone: 503-416-1960 Fax: 503-416-1959 | |
Samantha Jay Abbott, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10330 Se 32nd Ave Ste 325, Milwaukie, OR 97222 Phone: 503-416-1960 | |
Joel Aaron Michels, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10505 Se 17th Ave, Suite 210, Milwaukie, OR 97222 Phone: 503-467-1271 Fax: 855-232-6902 | |
Dr. Andreana Marie-concetta Gentile, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267 Phone: 503-305-6282 Fax: 503-908-0208 | |
Constance Cora Leben, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6400 Se Lake Rd Ste 325, Milwaukie, OR 97222 Phone: 503-786-1711 Fax: 503-786-9919 |